| Name: | MEDICAL TRANSPORT OF ALABAMA LLC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Exists |
| Date of registration: | 23 Jul 2004 (20 years ago) (Companies founded in July 2004) |
| Entity Number: | 000-611-550 |
| Register Number: | 000611550 |
| Historical Names: |
Fresh Air Accessible of Alabama, LLC,
ALA-Three, LLC |
| ZIP code: | 35022 (Companies in Jefferson, 35022) |
| County: | Jefferson |
| Place of Formation: | Arizona |
| Principal Address: | 5600 SHIRLEY PARK DRIVEBESSEMER, AL 35022 |
Activities
NON-EMERGENCY MEDICAL TRANSPORTATION
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1679111751 | 2019-12-19 | 2019-12-19 | 5600 SHIRLEY PARK DR, BESSEMER, AL, 350223402, US | 5600 SHIRLEY PARK DR, BESSEMER, AL, 350223402, US | |||||||||||||||||||||
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| Phone | +1 727-271-8611 |
| Fax | 2057443829 |
Authorized person
| Name | MR. RICHARD NORMAN PETERSON JR. |
| Role | GENERAL MANAGER |
| Phone | 2057447475 |
Taxonomy
| Taxonomy Code | 343900000X - Non-emergency Medical Transport (VAN) |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 106 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| BRYAN, JUDKINS M | Agent | 405 SOUTH HULL STREETMONTGOMERY, AL 36104 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2014-01-15 | Name Change | ALA-Three, LLC | MEDICAL TRANSPORT OF ALABAMA LLC |
| 2010-07-06 | Name Change | Fresh Air Accessible of Alabama, LLC, | ALA-Three, LLC |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
