| Name: | Evergreen Medical Center, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 14 Nov 2006 (18 years ago) (Companies founded in November 2006) |
| Entity Number: | 000-486-364 |
| Register Number: | 000486364 |
| ZIP code: | 36111 (Companies in Montgomery, 36111) |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Registered Office Street Address: | 3091 CARTER HILL RDMONTGOMERY, AL 36111 |
| Principal Address: | MONTGOMERY, AL |
Activities
OPERATE/MANAGE HEALTH CARE FACILITIES
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DJXKG7GK55L4 | 2023-05-09 | 101 CRESTVIEW AVE, EVERGREEN, AL, 36401, 3333, USA | 101 CRESTVIEW AVE, EVERGREEN, AL, 36401, USA | |||||||||||||||||||||||||||||||||||
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| Congressional District | 02 |
| State/Country of Incorporation | AL, USA |
| Activation Date | 2022-05-11 |
| Initial Registration Date | 2020-11-12 |
| Entity Start Date | 1972-03-09 |
| Fiscal Year End Close Date | Dec 31 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | JEREMY CRAIG |
| Address | 101 CRESTVIEW AVE, EVERGREEN, AL, 36401, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | JEREMEY CRAIG |
| Address | 101 CRESTVIEW AVE, EVERGREEN, AL, 36401, USA |
| Past Performance | Information not Available |
|---|
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1619559812 | 2021-04-27 | 2021-04-27 | PO BOX 706, EVERGREEN, AL, 364010706, US | 225 PATTERSON AVE # A, GEORGIANA, AL, 360336628, US | |||||||||||||
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| Phone | +1 251-578-2480 |
Authorized person
| Name | MELISSA DIANE DUNN |
| Role | CHIEF OPERATIONS OFFICER |
| Phone | 2515782480 |
Taxonomy
| Taxonomy Code | 261QR1300X - Rural Health Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| GILLIARD HEALTH SERVICES INC | Member |
| Name | Role | Address |
|---|---|---|
| MCKENZIE, WILLIAM G | Agent | 2114 ROSEMONT DRIVEMONTGOMERY, AL 36111 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
