Name: | USA Baldwin County ASC, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Exists |
Date of registration: | 19 Dec 2019 (5 years ago) |
Entity Number: | 000-596-254 |
Register Number: | 000596254 |
County: | Baldwin |
Place of Formation: | Mobile County |
Registered Office Street Address: | 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104 |
Registered Office Street Address ZIP Code: | 36104 |
Principal Address: | 21890 State Highway 181Fairhope, AL 36532 |
Principal Address ZIP Code: | 36532 |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1649961640 | 2023-05-19 | 2024-05-17 | 21890 STATE HIGHWAY 181, FAIRHOPE, AL, 365325139, US | 21890 STATE HIGHWAY 181, FAIRHOPE, AL, 365325139, US | |||||||||||||
|
Phone | +1 251-517-4284 |
Authorized person
Name | JENNIFER BALDOCK |
Role | OFFICER AND AUTHORIZED OFFICIAL |
Phone | 6152345954 |
Taxonomy
Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
Is Primary | Yes |
CIK number | Mailing Address | Business Address | Phone | |
---|---|---|---|---|
1889209 | 310 SEVEN SPRINGS WAY, SUITE 500, BRENTWOOD, TN, 37027 | 310 SEVEN SPRINGS WAY, SUITE 500, BRENTWOOD, TN, 37027 | (615) 234-5900 | |
Name | Role |
---|---|
CORPORATION SERVICE COMPANY, INC. | Agent |
Name | Role |
---|---|
TROTTER, ZACHARY ESQ | Organizer |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State