| Name: | Heart Center, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Non-Profit Corporation |
| Status: | Exists |
| Date of registration: | 01 May 2009 (16 years ago) |
| Entity Number: | 000-569-681 |
| Register Number: | 000569681 |
| Historical Names: |
THC Acquisition, Inc.
|
| County: | Madison |
| Place of Formation: | Madison County |
| Registered Office Street Address: | 101 SIVLEY RDHUNTSVILLE, AL 35801 |
| Registered Office Street Address ZIP Code: | 35801 |
Activities
HEALTH CARE SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750515201 | 2009-05-13 | 2011-12-21 | 101 SIVLEY RD SW, HUNTSVILLE, AL, 358014421, US | 930 FRANKLIN ST SE, HUNTSVILLE, AL, 358014312, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 256-539-4080 |
| Fax | 2565394099 |
Authorized person
| Name | DR. JOHN THOMAS HARTLEY III |
| Role | PRESIDENT |
| Phone | 2565394080 |
Taxonomy
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| Is Primary | Yes |
| Taxonomy Code | 207RC0001X - Clinical Cardiac Electrophysiology Physician |
| Is Primary | No |
| Taxonomy Code | 207RI0011X - Interventional Cardiology Physician |
| Is Primary | No |
| Taxonomy Code | 207UN0901X - Nuclear Cardiology Physician |
| Is Primary | No |
| Taxonomy Code | 208G00000X - Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| Is Primary | No |
| Taxonomy Code | 363AM0700X - Medical Physician Assistant |
| Is Primary | No |
| Taxonomy Code | 363LA2100X - Acute Care Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | No |
| Taxonomy Code | 364SA2200X - Adult Health Clinical Nurse Specialist |
| Is Primary | No |
Other Provider Identifiers
| Issuer | RAILROAD MEDICARE |
| Number | DP2630 |
| State | AL |
| Issuer | DEPARTMENT OF LABOR |
| Number | 615072600 |
| State | FL |
| Issuer | MEDICAID |
| Number | 111410 |
| State | AL |
| Name | Role |
|---|---|
| THE HEALTH CARE AUTHORITY OF THE | Incorporator |
| Name | Role | Address |
|---|---|---|
| SPILLERS, DAVID S | Agent | 101 SIVLEY ROADHUNTSVILLE, AL 35801 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2009-09-01 | Name Change | THC Acquisition, Inc. | Heart Center, Inc. |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
