Name: | STV Primary Care East, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Exists |
Date of registration: | 22 Sep 2016 (8 years ago) (Companies founded in September 2016) |
Entity Number: | 000-372-748 |
Register Number: | 000372748 |
ZIP code: | 36104 (Companies in Montgomery, 36104) |
County: | Montgomery |
Place of Formation: | Jefferson County |
Registered Office Street Address: | 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104 |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1245789270 | 2016-10-03 | 2018-08-28 | 70 PLAZA DR, PELL CITY, AL, 351259314, US | 7201 HAPPY HOLLOW ROAD, SUITE 101, TRUSSVILLE, AL, 35173, US | |||||||||||||||||||||
|
Phone | +1 205-814-9284 |
Fax | 2057534082 |
Phone | +1 205-655-3721 |
Fax | 2056553814 |
Authorized person
Name | SCOTT C BOYKEN |
Role | MD |
Phone | 2056553721 |
Taxonomy
Taxonomy Code | 207Q00000X - Family Medicine Physician |
State | AL |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
CORPORATION SERVICE COMPANY INC | Agent | 251 LITTLE FALLS DRIVEWILMINGTON, DE 19808 |
Name | Role | Address |
---|---|---|
REILLY, JAMES C | Organizer | 1130 22ND ST S RIDGE PARK STE 4000BIRMINGHAM, AL 35205 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State