Name: | AmSol Anesthetists of Alabama, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Dissolved |
Date of registration: | 08 Mar 2006 (19 years ago) (Companies founded in March 2006) |
Date of dissolution: | 04 Apr 2012 |
Entity Number: | 000-475-918 |
Register Number: | 000475918 |
ZIP code: | 36104 (Companies in Montgomery, 36104) |
County: | Montgomery |
Place of Formation: | Montgomery County |
Principal Address: | MONTGOMERY, AL |
Registered Office Street Address: | 2 NORTH JACKSON ST., SUITE 605MONTGOMERY, AL 36104 |
Activities
ANESTHESIA SERVICES
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1518975887 | 2006-08-03 | 2009-06-23 | PO BOX 10824, BIRMINGHAM, AL, 352020824, US | 600 S 3RD ST, GADSDEN, AL, 359015304, US | |||||||||||||||||||||||||||||||
|
Phone | +1 888-245-5525 |
Fax | 7176538197 |
Authorized person
Name | ALAN DALE HILLIARD |
Role | CFO |
Phone | 3368991410 |
Taxonomy
Taxonomy Code | 207L00000X - Anesthesiology Physician |
Is Primary | Yes |
Taxonomy Code | 367500000X - Certified Registered Nurse Anesthetist |
Is Primary | No |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 106186 |
State | AL |
Issuer | MEDICAID |
Number | 106456 |
State | AL |
Name | Role | Address |
---|---|---|
C T CORPORATION SYSTEM | Agent | 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
Name | Role |
---|---|
SNOW, RICHARD A | Member |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State