| Name: | Crestwood Physician Services, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Exists |
| Date of registration: | 10 Nov 2010 (14 years ago) (Companies founded in November 2010) |
| Entity Number: | 000-620-712 |
| Register Number: | 000620712 |
| ZIP code: | 36104 (Companies in Montgomery, 36104) |
| County: | Montgomery |
| Place of Formation: | Delaware |
| Principal Address: | 4000 MERIDIAN BLVDFRANKLIN, TN 37067 |
| Principal Mailing Address: | 7101 EXECUTIVE CENTER DR STE 333BRENTWOOD, TN 37027 |
| Registered Office Street Address: | 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104 |
Activities
HEALTHCARE SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154622520 | 2010-11-16 | 2020-01-09 | PO BOX 689022, FRANKLIN, TN, 370689022, US | 4810 WHITESPORT CIR SW, SUITE 201, HUNTSVILLE, AL, 358017419, US | |||||||||||||||
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| Phone | +1 256-429-5248 |
| Fax | 2564295247 |
Authorized person
| Name | JAMES PATRICK WRIGHT |
| Role | VP PHYSICIAN BUSINESS SERVICES |
| Phone | 6157781502 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY INC | Agent | 251 LITTLE FALLS DRIVEWILMINGTON, DE 19808 |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
