| Name: | Prime Healthcare Services-Gadsden, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Exists |
| Date of registration: | 24 Oct 2014 (10 years ago) (Companies founded in October 2014) |
| Entity Number: | 000-320-792 |
| Register Number: | 000320792 |
| ZIP code: | 35901 (Companies in Etowah, 35901) |
| County: | Etowah |
| Place of Formation: | Delaware |
| Principal Mailing Address: | 3300 E GUASTI ROAD 3RD FLOORONTARIO, CA 91761 |
| Principal Address: | 600 S 3RD STREETGADSDEN, AL 35901 |
| Registered Office Street Address: | 2 NORTH JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669868923 | 2015-04-13 | 2015-04-13 | 600 S 3RD ST, GADSDEN, AL, 359015304, US | 600 S 3RD ST, GADSDEN, AL, 359015304, US | |||||||||||||||||||||||||
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| Phone | +1 256-543-5200 |
| Fax | 2565435888 |
Authorized person
| Name | MICHAEL HEATHER |
| Role | CHIEF FINANCIAL OFFICER |
| Phone | 9092354400 |
Taxonomy
| Taxonomy Code | 273R00000X - Psychiatric Hospital Unit |
| License Number | H2803 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | HOS0046H |
| State | AL |
| Name | Role |
|---|---|
| COGENCY GLOBAL INC | Agent |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
