| Name: | Jackson Surgery Center, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 09 Jan 2006 (19 years ago) |
| Entity Number: | 000-473-283 |
| Register Number: | 000473283 |
| Place of Formation: | Montgomery County |
| Principal Address: | MONTGOMERY, AL |
| Registered Office Street Address: | 1725 PINE STMONTGOMERY, AL 36106-1117 |
Activities
OPERATE/MANAGE "THE JACKSON SURGERY CENTER" (MONTGOMERY
AL)
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336375930 | 2009-06-09 | 2022-02-14 | 1725 PARK PL, MONTGOMERY, AL, 361061138, US | 1725 PARK PL, MONTGOMERY, AL, 361061138, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 334-293-8484 |
| Fax | 3342936880 |
Authorized person
| Name | MISSY SALLAS |
| Role | ADMINISTRATOR |
| Phone | 3342933920 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| License Number | PENDING |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| JACKSON HOSPITAL & CLINIC INC | Agent |
| Name | Role |
|---|---|
| JACKSON HOSPITAL & CLINIC INC | Member |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
