| Name: | Fort Payne HBP, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Exists |
| Date of registration: | 28 Feb 2019 (6 years ago) |
| Entity Number: | 000-547-951 |
| Register Number: | 000547951 |
| County: | Montgomery |
| Place of Formation: | Delaware |
| Registered Office Street Address: | 2 North Jackson St., Suite 605Montgomery, AL 36104 |
| Registered Office Street Address ZIP Code: | 36104 |
| Principal Address: | 1573 Mallory Lane, Suite 100Brentwood, TN 37027 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740748821 | 2019-03-07 | 2019-03-07 | PO BOX 5009, BRENTWOOD, TN, 370245009, US | 200 MEDICAL CENTER DR SW, FORT PAYNE, AL, 359683458, US | |||||||||||||||
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| Phone | +1 615-221-1400 |
| Phone | +1 256-997-2400 |
Authorized person
| Name | LAURA FEY |
| Role | DIRECTOR REVENUE CYCLE |
| Phone | 6152211400 |
Taxonomy
| Taxonomy Code | 207PE0004X - Emergency Medical Services (Emergency Medicine) Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| C T Corporation System | Agent |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
