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AmSol Anesthetists of Alabama, LLC

Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
C T CORPORATION SYSTEM Agent 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104

Member

Name Role
SNOW, RICHARD A Member

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State