| Name: | Riverview Emergency Physicians, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 23 May 2007 (17 years ago) |
| Date of dissolution: | 12 Mar 2010 |
| Entity Number: | 000-494-977 |
| Register Number: | 000494977 |
| County: | Etowah |
| Place of Formation: | Etowah County |
| Principal Address: | GADSDEN, AL |
| Registered Office Street Address: | 200 CHESTNUT STGADSDEN, AL 35901 |
| Registered Office Street Address ZIP Code: | 35901 |
Activities
EMERGENCY MEDICAL SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1184822652 | 2007-07-06 | 2008-05-14 | PO BOX 11047, DAYTONA BEACH, FL, 321201047, US | 600 S 3RD ST, GADSDEN, AL, 359015304, US | |||||||||||||||||||
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| Phone | +1 256-543-5200 |
Authorized person
| Name | B R VEERENDRA-BABU |
| Role | CEO |
| Phone | 3862747800 |
Taxonomy
| Taxonomy Code | 207P00000X - Emergency Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 529932832 |
| State | AL |
| Name | Role |
|---|---|
| VEERENDRA-BABU, B R | Agent |
| Name | Role |
|---|---|
| VEERENDRA-BABU, B R | Member |
| GOWDA, NARENDRA K | Member |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
