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Coosa Valley - Aristo ER, LLC

Details

Name: Coosa Valley - Aristo ER, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 27 Dec 2016 (8 years ago)
Entity Number: 000-379-234
Register Number: 000379234
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 2728 REV. ABRAHAM WOODS JR BLVD NBIRMINGHAM, AL 35203
Registered Office Street Address ZIP Code: 35203

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1720524689 2017-01-16 2017-01-16 PO BOX 830525, DEPT SF69, BIRMINGHAM, AL, 352830525, US 315 W HICKORY ST, SYLACAUGA, AL, 351502913, US

Contacts

Phone +1 256-401-4000

Authorized person

Name MR. CHARLES RICH STREET JR.
Role CEO/OWNER
Phone 2053135202

Taxonomy

Taxonomy Code 207P00000X - Emergency Medicine Physician
Is Primary Yes

Agent

Name Role
STREET, CHARES R JR Agent

Organizer

Name Role Address
HARWOOD, JUDD A Organizer 1819 FIFTH AVENUE NORTHBIRMINGHAM, AL 35203

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State