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St. Vincent's Family Care-Blountsville, LLC

Details

Name: St. Vincent's Family Care-Blountsville, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 02 Dec 2010 (14 years ago)
Date of dissolution: 28 Sep 2012
Entity Number: 000-304-798
Register Number: 000304798
County: Jefferson
Place of Formation: Jefferson County
Principal Address: BIRMINGHAM, AL
Registered Office Street Address: 810 ST VINCENT'S DR THIRD FL POB IBIRMINGHAM, AL 35205
Registered Office Street Address ZIP Code: 35205

Activities OPERATE PHYSICAN PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1861795387 2010-12-07 2010-12-07 68278 MAIN ST, BLOUNTSVILLE, AL, 350313370, US 68278 MAIN ST, BLOUNTSVILLE, AL, 350313370, US

Contacts

Phone +1 205-429-0051

Authorized person

Name MR. SEAN TINNEY
Role PRESIDENT
Phone 2052743001

Taxonomy

Taxonomy Code 261QP2300X - Primary Care Clinic/Center
Is Primary Yes

Agent

Name Role
O'NEIL, JOHN D Agent

Member

Name Role
UNIVERSAL HEALTH SERVICES Member

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State