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Madison County Medical Center, LLC

Details

Name: Madison County Medical Center, LLC
Jurisdiction: Alabama
Legal type: Domestic Series Limited Liability Company
Status: Exists
Date of registration: 03 Mar 2017 (8 years ago)
Entity Number: 000-385-512
Register Number: 000385512
County: Madison
Place of Formation: Madison County
Registered Office Mailing Address: P O BOX 127HAZEL GREEN, AL 35750
Registered Office Mailing Address ZIP Code: 35750
Registered Office Street Address: 13971 HIGHWAY 231/431HAZEL GREEN, AL 35750
Registered Office Street Address ZIP Code: 35750

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1972017044 2017-11-27 2017-12-12 13971 HIGHWAY 231 431 N, HAZEL GREEN, AL, 357508651, US 13971 HIGHWAY 231 431 N, HAZEL GREEN, AL, 357508651, US

Contacts

Phone +1 256-828-4273

Authorized person

Name JOHN BOYLE
Role OWNER
Phone 2568284273

Taxonomy

Taxonomy Code 2081S0010X - Sports Medicine (Physical Medicine & Rehabilitation) Physician
Is Primary No
Taxonomy Code 363LF0000X - Family Nurse Practitioner
Is Primary Yes

Organizer

Name Role Address
MEYER, ALBERT Organizer 1340 PIAZZA PITTIBOYNTON BEACH, FL 33482

Agent

Name Role Address
BOYLE, JOHN Agent 13596 HWY 231 431 NORTH STE 7HAZEL GREEN, AL 35750

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State