| Name: | Alabama PA On Call, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 09 Jul 2008 (16 years ago) |
| Date of dissolution: | 21 Nov 2017 |
| Entity Number: | 000-422-619 |
| Register Number: | 000422619 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | BIRMINGHAM, AL |
| Registered Office Street Address: | 1751 CHARLESTON WAYBIRMINGHAM, AL 35216 |
| Registered Office Street Address ZIP Code: | 35216 |
Activities
PROFESSIONAL PHYSICIAN ASSISTANT SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851528533 | 2009-06-19 | 2009-06-19 | 1751 CHARLESTON WAY, BIRMINGHAM, AL, 352164886, US | 1751 CHARLESTON WAY, BIRMINGHAM, AL, 352164886, US | |||||||||||||||||||
|
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| Phone | +1 205-419-8200 |
| Fax | 2054198213 |
Authorized person
| Name | MS. VICKI PORTER |
| Role | VICE PRESIDENT |
| Phone | 2054198200 |
Taxonomy
| Taxonomy Code | 363A00000X - Physician Assistant |
| License Number | 297 |
| State | AL |
| Is Primary | Yes |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 59C40 | Active | Non-Manufacturer | 2008-11-26 | 2014-09-18 | No data | No data | |||||||||||||||
|
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| POC | SHERYLL C. COLEMAN |
| Phone | +1 205-419-8200 |
| Fax | +1 205-419-8213 |
| Address | 1751 CHARLESTON WAY, BIRMINGHAM, JEFFERSON, AL, 35216 4886, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | Information not Available |
|---|
| Immediate Level Owner | Information not Available |
|---|
| List of Offerors (0) | Information not Available |
|---|
| Name | Role |
|---|---|
| LANGSTON, LINDA | Agent |
| Name | Role |
|---|---|
| PORTER, VICTORIA | Member |
| COLEMAN, SHERYLL CHANDLER | Member |
| LANGSTON, LINDA | Member |
| MORRISS, SALLY | Member |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| No data | IDV | W912JA10A0009 | 2009-12-05 | No data | No data | |||||||||||||||||||||
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| Title | PA SERVICE |
| NAICS Code | 621399: OFFICES OF ALL OTHER MISCELLANEOUS HEALTH PRACTITIONERS |
| Product and Service Codes | Q999: OTHER MEDICAL SERVICES |
Recipient Details
| Recipient | ALABAMA PA ON CALL, LLC |
| UEI | T2JRVWZRLJH8 |
| Legacy DUNS | 013481936 |
| Recipient Address | UNITED STATES, 1751 CHARLESTON WAY, BIRMINGHAM, 352164886 |
| Unique Award Key | CONT_AWD_W912JA09M0018_9700_-NONE-_-NONE- |
| Awarding Agency | Department of Defense |
| Link | View Page |
Description
| Title | PHYSICIAN ASSISTANT SERVICES |
| NAICS Code | 621399: OFFICES OF ALL OTHER MISCELLANEOUS HEALTH PRACTITIONERS |
| Product and Service Codes | Q999: OTHER MEDICAL SERVICES |
Recipient Details
| Recipient | ALABAMA PA ON CALL, LLC |
| UEI | T2JRVWZRLJH8 |
| Legacy DUNS | 013481936 |
| Recipient Address | UNITED STATES, 1751 CHARLESTON WAY, BIRMINGHAM, 352164886 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
