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Elgin Medical Center LLC

Details

Name: Elgin Medical Center LLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 08 Sep 2016 (8 years ago) (Companies founded in September 2016)
Entity Number: 000-371-257
Register Number: 000371257
ZIP code: 35652 (Companies in Lauderdale, 35652)
County: Lauderdale
Place of Formation: Lauderdale County
Registered Office Street Address: 2850 HWY 101ROGERSVILLE, AL 35652

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
D1MMQC27FKN4 2024-07-16 2850 HIGHWAY 101, ROGERSVILLE, AL, 35652, 6046, USA 2850 HIGHWAY 101, ROGERSVILLE, AL, 35652, USA

Business Information

Division Name ELGIN MEDICAL CENTER
Congressional District 05
State/Country of Incorporation AL, USA
Activation Date 2023-07-18
Initial Registration Date 2023-07-17
Entity Start Date 2016-11-21
Fiscal Year End Close Date Dec 31

Points of Contacts

Electronic Business
Title PRIMARY POC
Name MARISSA RAMSEY
Address 2850 HIGHWAY 101, ROGERSVILLE, AL, 35652, USA
Government Business
Title PRIMARY POC
Name MARISSA RAMSEY
Address 2850 HIGHWAY 101, ROGERSVILLE, AL, 35652, USA
Past Performance
Title PRIMARY POC
Name MARISSA RAMSEY
Address 2850 HIGHWAY 101, ROGERSVILLE, AL, 35653, USA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1083164677 2016-10-07 2016-10-07 2850 HIGHWAY 101, ROGERSVILLE, AL, 356526046, US 2850 HIGHWAY 101, ROGERSVILLE, AL, 356526046, US

Contacts

Phone +1 256-247-5792
Fax 2562475791

Authorized person

Name MARISSA RAMSEY
Role OWNER/ PRACTITIONER
Phone 2562475792

Taxonomy

Taxonomy Code 363LF0000X - Family Nurse Practitioner
License Number 1-097505
State AL
Is Primary Yes

Agent

Name Role Address
RAMSEY, DARRELL Agent 53 PLANTATION DRKILLEN, AL 35645

Organizer

Name Role Address
RAMSEY, DARRELL Organizer 53 PLANTATION DRKILLEN, AL 35645

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State