| Name: | ACSH Primary Care of Alabama, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 24 Nov 2014 (10 years ago) |
| Entity Number: | 000-323-288 |
| Register Number: | 000323288 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 420 NORTH 20TH STREET SUITE 1400BIRMINGHAM, AL 35203 |
| Registered Office Street Address ZIP Code: | 35203 |
Activities
PRACTICE OF MEDICINE & RENDER SERVICES ANCILLARY THERETO
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811394547 | 2014-11-24 | 2015-08-17 | PO BOX 101070, ATLANTA, GA, 303921070, US | 115 W GRAND AVE, STE 90, RAINBOW CITY, AL, 359063275, US | |||||||||||||||
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| Phone | +1 256-459-4987 |
| Fax | 2564594987 |
Authorized person
| Name | NORMAN WINLAND |
| Role | COO |
| Phone | 4044651000 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| WINGER, ADAM S | Agent | 420 NORTH 20TH STREET SUITE 1400BIRMINGHAM, AL 35203 |
| Name | Role | Address |
|---|---|---|
| WINGER, ADAM S | Organizer | 420 NORTH 20TH STREET SUITE 1400BIRMINGHAM, AL 35203 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
