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Select Health of AL, LLC

Details

Name: Select Health of AL, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 16 Feb 2018 (7 years ago) (Companies founded in February 2018)
Entity Number: 000-510-328
Register Number: 000510328
Historical Names: Spine CIN of Mobile, LLC
ZIP code: 36104 (Companies in Montgomery, 36104)
County: Montgomery
Place of Formation: Montgomery County
Registered Office Street Address: 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1396244307 2018-02-05 2022-01-12 102 WOODMONT BLVD STE 350, NASHVILLE, TN, 372052216, US 202A GOVERNMENT ST, MOBILE, AL, 366022614, US

Contacts

Phone +1 615-386-0064
Fax 6153860067

Authorized person

Name JOHN HANNON
Role SVP, MARKETING AND COMMUNICATIONS
Phone 6153860064

Taxonomy

Taxonomy Code 207X00000X - Orthopaedic Surgery Physician
State AL
Is Primary Yes
Taxonomy Code 207XS0117X - Orthopaedic Surgery of the Spine Physician
State AL
Is Primary No

Agent

Name Role
CORPORATION SERVICE COMPANY INC. Agent

Organizer

Name Role
EADIE, HUTTON Organizer

Events

Event Date Event Type Old Value New Value
2019-05-15 Name Change Spine CIN of Mobile, LLC Select Health of AL, LLC

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State