| Name: | Integrated Medical Health, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 09 May 2018 (7 years ago) |
| Entity Number: | 000-518-335 |
| Register Number: | 000518335 |
| County: | Madison |
| Place of Formation: | Madison County |
| Principal Address: | 1111 WAYNE ROAD SUITE 6HUNTSVILLE, AL 35806 |
| Principal Address ZIP Code: | 35806 |
| Authorized Capital: | 1000 & $1.00 PV |
Activities
PRIMARY CARE & INTERNAL MEDICINE SERVICES
ANY/ALL LAWFUL BUSINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447741400 | 2018-05-25 | 2018-07-13 | 1111 WAYNE RD NW STE 6, HUNTSVILLE, AL, 358063573, US | 1111 WAYNE RD NW STE 6, HUNTSVILLE, AL, 35806, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 256-288-3333 |
| Fax | 2562883334 |
Authorized person
| Name | KELLI NC HARDIN |
| Role | CREDENTIALING |
| Phone | 2562883333 |
Taxonomy
| Taxonomy Code | 207P00000X - Emergency Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207QA0000X - Adolescent Medicine (Family Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 207QA0401X - Addiction Medicine (Family Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 207QA0505X - Adult Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207QG0300X - Geriatric Medicine (Family Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 207RA0000X - Adolescent Medicine (Internal Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 207RA0401X - Addiction Medicine (Internal Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 207RG0300X - Geriatric Medicine (Internal Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | No |
| Taxonomy Code | 208M00000X - Hospitalist Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| MALHOTRA, SANJAY | Incorporator | 108 MICHIGAN COURTMADISON, AL 35758 |
| Name | Role | Address |
|---|---|---|
| MALHOTRA, SANJAY | Agent | 108 MICHIGAN COURTMADISON, AL 35758 |
| Name | Role | Address |
|---|---|---|
| MALHOTRA, SANJAY | Director | 108 MICHIGAN COURTMADISON, AL 35758 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
