| Name: | North Alabama Sleep Disorder Center, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 24 May 2007 (17 years ago) (Companies founded in May 2007) |
| Entity Number: | 000-495-174 |
| Register Number: | 000495174 |
| ZIP code: | 35501 (Companies in Walker, 35501) |
| County: | Walker |
| Place of Formation: | Walker County |
| Registered Office Street Address: | 406 MEDICAL CENTER DRJASPER, AL 35501 |
Activities
PROVIDE DURABLE MEDICAL EQUIPMENT/RELATED SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497922009 | 2008-05-13 | 2008-05-13 | PO BOX 627, SHEFFIELD, AL, 356600627, US | 1111 S RALEIGH AVE, SUITE 200, SHEFFIELD, AL, 356606350, US | |||||||||||||||||||||||||
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| Phone | +1 256-386-4005 |
| Fax | 2563864685 |
Authorized person
| Name | RALPH WILSON |
| Role | CCO |
| Phone | 2563864005 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | 11784 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE IDTF |
| Number | 051550480 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| MED-SOUTH INC | Member | 406 MEDICAL CENTER DRIVEJASPER, AL 35501 |
| THC INVESTMENTS II LLC | Member | No data |
| THE HEALTH CARE AUTHORITY OF THE CITH OF HUNTSVILLE | Member | No data |
| Name | Role |
|---|---|
| MERRICK, WILLIAM C | Agent |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
