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USA Baldwin County ASC, LLC

Details

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

National Provider Identifier

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

Contacts

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

Central Index Key

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

Filings since 2023-05-30

Form type D
File number 021-482902
Filing date 2023-05-30
File View File

Filings since 2021-11-18

Form type D/A
File number 021-418689
Filing date 2021-11-18
File View File

Filings since 2021-10-27

Form type D
File number 021-418689
Filing date 2021-10-27
File View File

Agent

Name Role
CORPORATION SERVICE COMPANY, INC. Agent

Organizer

Name Role
TROTTER, ZACHARY ESQ Organizer

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State