| Name: | Cullman Regional Nurse Anesthetists, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 19 Apr 2010 (15 years ago) (Companies founded in April 2010) |
| Date of dissolution: | 30 Oct 2017 |
| Entity Number: | 000-446-099 |
| Register Number: | 000446099 |
| ZIP code: | 35179 (Companies in Cullman, 35179) |
| County: | Cullman |
| Place of Formation: | Cullman County |
| Principal Address: | VINEMONT, AL |
| Registered Office Street Address: | 156 CO RD 1313VINEMONT, AL 35179 |
Activities
COMPREHENSIVE ANESTHESIA CARE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215334594 | 2014-12-02 | 2015-09-29 | 7956 VAUGHN RD # 165, MONTGOMERY, AL, 361166625, US | 1912 AL HIGHWAY 157, CULLMAN, AL, 350580609, US | |||||||||||||||||||||
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| Phone | +1 888-316-7491 |
| Fax | 3342397654 |
| Phone | +1 256-737-2000 |
Authorized person
| Name | MR. NORMAN RAY BURKETT |
| Role | PRESIDENT |
| Phone | 3343966930 |
Taxonomy
| Taxonomy Code | 367500000X - Certified Registered Nurse Anesthetist |
| License Number | 1-051912 |
| State | AL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CRNA, LLC 401K PLAN | 2015 | 383813077 | 2016-03-31 | CULLMAN REGIONAL NURSE ANESTHETISTS, LLC | 12 | |||||||||||||
|
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| Name | Role |
|---|---|
| BURKETT, NORMAN RAY | Agent |
| Name | Role |
|---|---|
| BURKETT, NORMAN RAY | Member |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
