| Name: | Concentric Hospitalist Group, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 01 May 2015 (10 years ago) |
| Entity Number: | 000-335-159 |
| Register Number: | 000335159 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 704 HERITAGE PARK LANEHOOVER, AL 35226 |
| Registered Office Street Address ZIP Code: | 35226 |
| Authorized Capital: | 1000 @ $.01 PV |
Activities
PRACTICE THE PROFESSION OF MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740667138 | 2015-05-05 | 2023-03-03 | 995 9TH AVE SW, BESSEMER, AL, 350224527, US | 995 9TH AVE SW, BESSEMER, AL, 350224527, US | |||||||||||||||||||||||
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| Phone | +1 205-481-8525 |
Authorized person
| Name | MICHAEL BURCH |
| Role | PHYSICIAN |
| Phone | 2058731137 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 208M00000X - Hospitalist Physician |
| License Number | MD26222 |
| State | AL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| BURCH, MICHAEL J | Agent | 704 HERITAGE PARK LANEHOOVER, AL 35226 |
| Name | Role | Address |
|---|---|---|
| AZZAM, MOHANNAD F | Director | 5331 SUMMER PLACE PARKWAYHOOVER, AL 35244 |
| BURCH, MICHAEL J | Director | 704 HERITAGE PARK LANEHOOVER, AL 35226 |
| Name | Role | Address |
|---|---|---|
| BOWDRE, J B | Incorporator | 800 SHADES CREEK PKWY STE 400BIRMINGHAM, AL 35209 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
