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ISLAND MEDICAL MANAGEMENT GADSDEN, LLC

Details

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)
Date of dissolution: 08 Mar 2021
Entity Number: 000-437-462
Register Number: 000437462
Historical Names: Pegasus Emergency Group Gadsden, LLC
County: Montgomery
Place of Formation: Madison County
Registered Office Street Address: 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104
Registered Office Street Address ZIP Code: 36104

Activities PROVIDE MEDICAL SERVICES TO MEDICAL FACILITIES

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
CORPORATION SERVICE COMPANY INC Agent 251 LITTLE FALLS DRIVEWILMINGTON, DE 19808

Member

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

Events

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