| Name: | Scottsboro Emergency Group, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 16 Dec 2009 (15 years ago) |
| Date of dissolution: | 14 Nov 2017 |
| Entity Number: | 000-441-147 |
| Register Number: | 000441147 |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Registered Office Street Address: | 2 NORTH JACKSON ST., SUITE 605MONTGOMERY, AL 36104 |
| Registered Office Street Address ZIP Code: | 36104 |
Activities
ANY LAWFUL ACTIVITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497085799 | 2010-01-08 | 2010-01-08 | 200 CORPORATE BLVD, SUITE 201, LAFAYETTE, LA, 705083870, US | 380 WOODS COVE RD, SCOTTSBORO, AL, 357682428, US | |||||||||||||||||||||||
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| Phone | +1 800-893-9698 |
| Phone | +1 256-295-4444 |
Authorized person
| Name | LISHA FALK |
| Role | CORPORATE COMPLIANCE |
| Phone | 8008939698 |
Taxonomy
| Taxonomy Code | 207P00000X - Emergency Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 363AM0700X - Medical Physician Assistant |
| Is Primary | No |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| C T CORPORATION SYSTEM | Agent | 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
| Name | Role |
|---|---|
| SCHUMACHER MEDICAL CORPORATION OF | Member |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
