| Name: | Montgomery Surgical Center, Ltd. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Partnership |
| Status: | Dissolved |
| Date of registration: | 08 Apr 1991 (34 years ago) (Companies founded in April 1991) |
| Date of dissolution: | 29 Jun 2012 |
| Entity Number: | 000-501-408 |
| Register Number: | 000501408 |
| ZIP code: | 36116 (Companies in Montgomery, 36116) |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Principal Address: | 855 EAST SOUTH BLVDMONTGOMERY, AL 36116 |
| Registered Office Street Address: | 301 BROWN SPRINGS RDMONTGOMERY, AL 36117 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1376634683 | 2006-09-28 | 2024-01-26 | 470 TAYLOR RD, SUITE 100, MONTGOMERY, AL, 361173563, US | 470 TAYLOR RD, SUITE 100, MONTGOMERY, AL, 361173563, US | |||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 334-290-4530 |
Authorized person
| Name | MS. CHRISTINE BRUTON |
| Role | CHIEF FINANCIAL OFFICER |
| Phone | 3347474447 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| License Number | 12140 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 010301 |
| State | AL |
| Issuer | UNITED HEALTH CARE |
| Number | 6810009 |
| State | AL |
| Issuer | MEDICAID |
| Number | ASC0001C |
| State | AL |
| Issuer | FEP BCBS |
| Number | 010301 |
| State | AL |
| Name | Role |
|---|---|
| BROWN, B BLAINE | Agent |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
