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Brookwood Primary Care Hoover, L.L.C.

Details

Name: Brookwood Primary Care Hoover, L.L.C.
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 11 Jul 2007 (17 years ago) (Companies founded in July 2007)
Date of dissolution: 01 Jul 2022
Entity Number: 000-497-039
Register Number: 000497039
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 MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1740470251 2007-07-31 2016-05-26 4902 VALLEYDALE RD, BIRMINGHAM, AL, 352424613, US 2547 JOHN HAWKINS PKWY, SUITE 103, HOOVER, AL, 352443554, US

Contacts

Phone +1 205-980-8099
Fax 2059802606
Phone +1 205-988-8311
Fax 2059883590

Authorized person

Name MR. WESLEY O. JAMES
Role REGIONAL CFO, TENET
Phone 4042655009

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
License Number 26468
State AL
Is Primary Yes

Member

Name Role Address
BROOKWOOD PRIMARY NETWORK CARE INC Member 1445 ROSS AVENUE SUITE 1400DALLAS, TX 75202

Agent

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

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State