| Name: | Outside The Box Healthcare, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 26 Oct 2018 (6 years ago) |
| Entity Number: | 000-534-305 |
| Register Number: | 000534305 |
| County: | Marshall |
| Place of Formation: | DeKalb County |
| Registered Office Street Address: | 19758 ALABAMA HWY 68ALBERTVILLE, AL 35951 |
| Registered Office Street Address ZIP Code: | 35951 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043782675 | 2018-12-20 | 2020-11-01 | 5730 US HIGHWAY 431, ALBERTVILLE, AL, 359500234, US | 5730 US HIGHWAY 431, ALBERTVILLE, AL, 359500234, US | |||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 256-907-9700 |
| Fax | 2569079724 |
Authorized person
| Name | MILLIE ELIZABETH MARTIN |
| Role | PRACTICE MANAGER |
| Phone | 2569079700 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | No |
Other Provider Identifiers
| Issuer | DR. FRANCESCA CERIMELE |
| Number | 1770591950 |
| Issuer | NPI |
| Number | 1942830716 |
| State | AL |
| Issuer | NPI |
| Number | 1588103295 |
| State | AL |
| Issuer | NPI |
| Number | 1801102959 |
| State | AL |
| Issuer | NPI |
| Number | 1245695667 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| SCOTT, ROBIN | Manager | 1412 MARTLING ROADALBERTVILLE, AL 35951 |
| Name | Role | Address |
|---|---|---|
| SCOTT, ROBIN | Member | 1412 MARTLING ROADALBERTVILLE, AL 35951 |
| MIKA BEARDEN | Member | No data |
| Name | Role | Address |
|---|---|---|
| SCOTT, ROBIN | Agent | 1412 MARTLING ROADALBERTVILLE, AL 35951 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
