| Name: | Kelley's Ambulance Service, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 28 Oct 2004 (20 years ago) |
| Entity Number: | 000-456-668 |
| Register Number: | 000456668 |
| County: | Escambia |
| Place of Formation: | Escambia County |
| Principal Address: | ATMORE, AL |
| Registered Office Street Address: | 110 SOUTH TRAMMELL STATMORE, AL 36502 |
| Registered Office Street Address ZIP Code: | 36502 |
Activities
OWN/MANAGE AN AMBULANCE SERVICE BUSINESS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285741041 | 2006-08-25 | 2020-08-22 | PO BOX 530, ATMORE, AL, 365040530, US | 212 N MAIN ST, ATMORE, AL, 365021714, US | |||||||||||||||||||||||||||
|
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| Phone | +1 215-368-5915 |
| Fax | 2513686161 |
| Phone | +1 251-368-5915 |
Authorized person
| Name | JOEY DEWAYNE KELLEY |
| Role | OWNER |
| Phone | 2513685915 |
Taxonomy
| Taxonomy Code | 341600000X - Ambulance |
| License Number | 899 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBSAL |
| Number | 51525686 |
| State | AL |
| Name | Role |
|---|---|
| KELLEY, JOEY D | Agent |
| Name | Role |
|---|---|
| KELLEY, JOEY D | Member |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
