| Name: | Crestwood Occupational Medicine/Convenient Care, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Exists |
| Date of registration: | 27 Sep 2019 (5 years ago) |
| Entity Number: | 000-589-697 |
| Register Number: | 000589697 |
| County: | Montgomery |
| Place of Formation: | Delaware |
| Principal Address: | 4000 MERIDIAN BLVDFRANKLIN, TN 37067 |
| Registered Office Street Address: | 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104 |
| Registered Office Street Address ZIP Code: | 36104 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568009074 | 2019-12-03 | 2020-01-09 | PO BOX 689022, FRANKLIN, TN, 370689022, US | 1 HOSPITAL DR SW, HUNTSVILLE, AL, 358016455, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 615-778-8027 |
| Fax | 6156286877 |
| Phone | +1 256-429-5000 |
Authorized person
| Name | JAMES PATRICK WRIGHT |
| Role | VP PHYSICIAN BUSINESS SERVICES |
| Phone | 6157781502 |
Taxonomy
| Taxonomy Code | 2083P0500X - Preventive Medicine/Occupational Environmental Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY INC | Agent | 251 LITTLE FALLS DRIVEWILMINGTON, DE 19808 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
