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Jackson Surgery Center, LLC

Details

Name: Jackson Surgery Center, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 09 Jan 2006 (19 years ago) (Companies founded in January 2006)
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)

National Provider Identifier

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

Contacts

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

Agent

Name Role
JACKSON HOSPITAL & CLINIC INC Agent

Member

Name Role
JACKSON HOSPITAL & CLINIC INC Member

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State