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Andalusia Physician Practices, LLC

Details

Name: Andalusia Physician Practices, LLC
Jurisdiction: Alabama
Legal type: Foreign Limited Liability Company
Status: Exists
Date of registration: 08 Dec 2006 (18 years ago) (Companies founded in December 2006)
Entity Number: 000-611-998
Register Number: 000611998
ZIP code: 36104 (Companies in Montgomery, 36104)
County: Montgomery
Place of Formation: Delaware
Principal Address: 103 POWELL COURT STE 300BRENTWOOD, TN 37027
Registered Office Street Address: 2 NORTH JACKSON ST., SUITE 605MONTGOMERY, AL 36104

Activities HEALTHCARE SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1417663576 2023-01-23 2023-06-26 680 S 4TH ST, LOUISVILLE, KY, 402022407, US 847 W BYPASS STE A, ANDALUSIA, AL, 364204747, US

Contacts

Phone +1 866-546-3733
Phone +1 334-428-2273
Fax 3342221150

Authorized person

Name KATHY TEAGUE
Role VICE PRESIDENT, CORPORATE SECRETARY
Phone 6292535121

Taxonomy

Taxonomy Code 261QR1300X - Rural Health Clinic/Center
Is Primary Yes

Agent

Name Role Address
C T CORPORATION SYSTEM Agent 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State