| Name: | Physicians Choice Dialysis of Calhoun County, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Withdrawn |
| Date of registration: | 24 Mar 2008 (17 years ago) (Companies founded in March 2008) |
| Entity Number: | 000-615-505 |
| Register Number: | 000615505 |
| ZIP code: | 36104 (Companies in Montgomery, 36104) |
| County: | Montgomery |
| Place of Formation: | Delaware |
| Principal Address: | 211 COMMERCE COURT STE 104POTTSTOWN, PA 19464 |
| Registered Office Street Address: | 150 S PERRY STMONTGOMERY, AL 36104 |
Activities
DIALYSIS SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023284676 | 2008-05-05 | 2009-10-02 | 211 COMMERCE COURT, SUITE 104, POTTSTOWN, PA, 19464, US | 805 NORTH STREET EAST, TALLADEGA, AL, 35160, US | |||||||||||||||||||||||||||||||
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| Phone | +1 610-495-8900 |
| Fax | 6104958560 |
| Phone | +1 256-315-1662 |
Authorized person
| Name | THOMAS J KARL |
| Role | MEMBER/MANAGER |
| Phone | 6104958900 |
Taxonomy
| Taxonomy Code | 261QE0700X - End-Stage Renal Disease (ESRD) Treatment Clinic/Center |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | DIA2539D |
| State | AL |
| Issuer | BCBS OF ALABAMA |
| Number | 013-379 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| CSC LAWYERS INCORPORATING SRV INC | Agent | 2711 CENTERVILLE ROAD SUITE 400WILMINGTON, DE 19808 |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
