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Integrated Care - Alabama, LLC

Details

Name: Integrated Care - Alabama, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 04 Sep 2019 (5 years ago) (Companies founded in September 2019)
Entity Number: 000-585-964
Register Number: 000585964
Place of Formation: Montgomery County

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1215572888 2019-11-07 2020-02-27 PO BOX 671282, DALLAS, TX, 752671282, US 1725 PINE ST, MONTGOMERY, AL, 361061109, US

Contacts

Phone +1 334-293-8000

Authorized person

Name MATTHEW JACKSON
Role CFO
Phone 8137463990

Taxonomy

Taxonomy Code 207P00000X - Emergency Medicine Physician
Is Primary Yes

Agent

Name Role
Corporation Service Company Inc. Agent

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State