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Prime Healthcare Services - Gadsden Physician Management, LLC

Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role
COGENCY GLOBAL INC Agent

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State