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STV Primary Care East, LLC

Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
CORPORATION SERVICE COMPANY INC Agent 251 LITTLE FALLS DRIVEWILMINGTON, DE 19808

Organizer

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