Name: | Prime Healthcare Services - Gadsden Physician Management, LLC |
Jurisdiction: | Alabama |
Legal type: | Foreign Limited Liability Company |
Status: | Exists |
Date of registration: | 04 Nov 2014 (10 years ago) (Companies founded in November 2014) |
Entity Number: | 000-321-457 |
Register Number: | 000321457 |
ZIP code: | 35901 (Companies in Etowah, 35901) |
County: | Etowah |
Place of Formation: | Delaware |
Principal Mailing Address: | 3300 E. GUASTI ROADM, 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 | |||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1356731467 | 2015-01-27 | 2023-09-13 | 404 S 6TH ST, GADSDEN, AL, 359014107, US | 404 S 6TH ST, GADSDEN, AL, 359014107, US | |||||||||||||||||||||||||||
|
Phone | +1 256-467-4731 |
Fax | 2564674734 |
Authorized person
Name | CHRISTOPHER DOAN |
Role | MANAGING ASSOCIATE GENERAL COUNSEL |
Phone | 3102594706 |
Taxonomy
Taxonomy Code | 207Q00000X - Family Medicine Physician |
Is Primary | Yes |
Taxonomy Code | 207R00000X - Internal Medicine Physician |
Is Primary | No |
Taxonomy Code | 208000000X - Pediatrics Physician |
Is Primary | No |
Taxonomy Code | 367500000X - Certified Registered Nurse Anesthetist |
Is Primary | No |
Name | Role |
---|---|
COGENCY GLOBAL INC | Agent |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State