| Name: | Attentus Moulton, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 04 Nov 2004 (20 years ago) |
| Entity Number: | 000-456-883 |
| Register Number: | 000456883 |
| County: | Lawrence |
| Place of Formation: | Montgomery County |
| Registered Office Street Address: | 202 HOSPITAL STREETMOULTON, AL 35650 |
| Registered Office Street Address ZIP Code: | 35650 |
Activities
OWN/OPERATE/MANAGE/LEASE HEALTHCARE FACILITIES
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| T463SCC5PRW6 | 2025-01-23 | 202 HOSPITAL ST, MOULTON, AL, 35650, 1218, USA | 202 HOSPITAL ST, MOULTON, AL, 35650, 1218, USA | |||||||||||||||||||||||||||||||||||||||||
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| URL | Lawrencemedicalcenter.com |
| Division Name | LAWRENCE MEDICAL CENTER |
| Congressional District | 04 |
| Activation Date | 2024-01-26 |
| Initial Registration Date | 2022-12-27 |
| Entity Start Date | 1987-10-13 |
| Fiscal Year End Close Date | Sep 30 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | ASHLEY MAYFIELD |
| Role | CCO |
| Address | 202 HOSPITAL STREET, MOULTON, AL, 35650, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | DEAN GRIFFIN |
| Role | CEO |
| Address | 202 HOSPITAL STREET, MOULTON, AL, 35650, USA |
| Past Performance | Information not Available |
|---|
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1396468922 | 2022-09-20 | 2022-09-20 | PO BOX 660257, BIRMINGHAM, AL, 352660257, US | 202 HOSPITAL ST, MOULTON, AL, 356501218, US | |||||||||||||||||||
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| Phone | +1 205-979-5882 |
| Fax | 2059791248 |
| Phone | +1 256-974-2200 |
| Fax | 2569742299 |
Authorized person
| Name | DEAN ALAN GRIFFIN |
| Role | CEO |
| Phone | 2569742286 |
Taxonomy
| Taxonomy Code | 207P00000X - Emergency Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| LAWRENCE COUNTY HEALTH CARE AUTHORIT | Agent |
| Name | Role |
|---|---|
| ATTENTUS HEALTHCARE COMPANY | Member |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
