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Tanner Medical Center Alabama, Inc.

Details

Name: Tanner Medical Center Alabama, Inc.
Jurisdiction: Alabama
Legal type: Domestic Non-Profit Corporation
Status: Exists
Date of registration: 10 Sep 2015 (9 years ago) (Companies founded in September 2015)
Entity Number: 000-343-234
Register Number: 000343234
ZIP code: 36278 (Companies in Randolph, 36278)
County: Randolph
Place of Formation: Randolph County
Principal Address: 1030 SOUTH MAIN STREETWEDOWEE, AL 36278
Registered Office Street Address: 1032 SOUTH MAIN STREETWEDOWEE, AL 36278

Activities CHARITABLE/SCIENTIFIC/EDUCATIONAL PURPOSES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1366906521 2019-01-22 2019-01-22 100 PROFESSIONAL PL STE 305, CARROLLTON, GA, 301173872, US 1032 MAIN ST S, WEDOWEE, AL, 362787440, US

Contacts

Phone +1 770-812-8614
Phone +1 256-357-2111

Authorized person

Name CAROL S. CREWS
Role CFO
Phone 7708129745

Taxonomy

Taxonomy Code 367500000X - Certified Registered Nurse Anesthetist
Is Primary Yes

Agent

Name Role
STITCHER, HEATHER Agent

Director

Name Role Address
CAYPLESS, BILL Director 1189 COUNTY RD 75ROANOKE, AL 36274
CREWS, CAROL Director 705 DIXIE STREETCARROLLTON, GA 30117
GRIFFITH, JIM Director 705 DIXIE STREETCARROLLTON, GA 30117
HOWARD, LOY Director 705 DIXIE STREETCARROLLTON, GA 30117

Incorporator

Name Role Address
TANNER MEDICAL CENTER INC Incorporator 705 DIXIE STREETCARROLLTON, GA 30117

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State