| Name: | ISLAND MEDICAL MANAGEMENT GADSDEN, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 18 Aug 2009 (15 years ago) (Companies founded in August 2009) |
| Date of dissolution: | 08 Mar 2021 |
| Entity Number: | 000-437-462 |
| Register Number: | 000437462 |
| Historical Names: |
Pegasus Emergency Group Gadsden, LLC
|
| ZIP code: | 36104 (Companies in Montgomery, 36104) |
| County: | Montgomery |
| Place of Formation: | Madison County |
| Registered Office Street Address: | 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104 |
Activities
PROVIDE MEDICAL SERVICES TO MEDICAL FACILITIES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1669706214 | 2009-09-30 | 2009-11-17 | PO BOX 202708, DALLAS, TX, 753202708, US | 1007 GOODYEAR AVE, GADSDEN, AL, 359031195, US | |||||||||||||||||
|
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| Phone | +1 866-935-6774 |
| Fax | 7819376442 |
| Phone | +1 256-737-2106 |
Authorized person
| Name | DR. NEIL E SCHAMBAN |
| Role | MD |
| Phone | 2567372106 |
Taxonomy
| Taxonomy Code | 207P00000X - Emergency Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY INC | Agent | 251 LITTLE FALLS DRIVEWILMINGTON, DE 19808 |
| Name | Role | Address |
|---|---|---|
| JUSTIN, ELLIOT | Member | 1007 E MAIN ST STE 300BOZEMAN, MT 59715 |
| SCHAMBAN, NEIL | Member | 1007 EAST MAIN STREET SUITE 300BOZEMAN, MT 59715 |
| ASHAR, TOM | Member | 121 DEVON DRIVEHOMEWOOD, AL 35209 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2015-04-23 | Name Change | Pegasus Emergency Group Gadsden, LLC | ISLAND MEDICAL MANAGEMENT GADSDEN, LLC |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
