| Name: | Balm International Health Care Centers, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 31 Jul 2009 (15 years ago) (Companies founded in July 2009) |
| Entity Number: | 000-436-610 |
| Register Number: | 000436610 |
| ZIP code: | 36783 (Companies in Marengo, 36783) |
| County: | Marengo |
| Place of Formation: | Marengo County |
| Principal Address: | THOMASTON, AL |
| Registered Office Street Address: | 891 COUNTY RD 79THOMASTON, AL 36783 |
Activities
ANY LAWFUL ACTIVITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1417188525 | 2009-08-06 | 2021-07-14 | PO BOX 661495, BIRMINGHAM, AL, 352661495, US | 507 S MAIN ST, LINDEN, AL, 367482025, US | |||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 205-979-5882 |
| Fax | 2059791248 |
| Phone | +1 334-578-2357 |
| Fax | 3342955596 |
Authorized person
| Name | KETURAH CRAIG |
| Role | OWNER |
| Phone | 3342954144 |
Taxonomy
| Taxonomy Code | 213E00000X - Podiatrist |
| License Number | 291 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | RAILROAD MEDICARE |
| Number | DQ1809 |
| State | AL |
| Issuer | MEDICAID |
| Number | 113457 |
| State | AL |
| Issuer | TRICARE |
| Number | 1417188525 |
| State | AL |
| Name | Role |
|---|---|
| CRAIG, KETURAH | Agent |
| Name | Role |
|---|---|
| CRAIG, KETURAH | Member |
| PEASE, CLEVESTER | Member |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
