| Name: | Brookwood - Maternal Fetal Medicine, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 23 Aug 2007 (17 years ago) (Companies founded in August 2007) |
| Date of dissolution: | 30 Jun 2022 |
| Entity Number: | 000-499-031 |
| Register Number: | 000499031 |
| Historical Names: |
Brookwood Primary Care Network - Homewood, L.L.C.
|
| 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
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1790023810 | 2013-01-24 | 2013-03-11 | 2006 BROOKWOOD MEDICAL CTR DR, SUITE 604; WMP, BIRMINGHAM, AL, 352096899, US | 2006 BROOKWOOD MEDICAL CTR DR, SUITE 604; WMP, BIRMINGHAM, AL, 352096899, US | |||||||||||||||||||
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| Phone | +1 205-877-5113 |
| Fax | 2058775130 |
Authorized person
| Name | MS. GINGER COLE |
| Role | CRNP |
| Phone | 2058775113 |
Taxonomy
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| License Number | 1-123626 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| C T CORPORATION SYSTEM | Agent | 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
| Name | Role | Address |
|---|---|---|
| BROOKWOOD PRIMARY NETWORK CARE INC | Member | 1445 ROSS AVENUE SUITE 1400DALLAS, TX 75202 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2008-06-20 | Name Change | Brookwood Primary Care Network - Homewood, L.L.C. | Brookwood - Maternal Fetal Medicine, L.L.C. |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
