| Name: | Advent Health LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 21 Feb 2020 (5 years ago) |
| Entity Number: | 000-623-526 |
| Register Number: | 000623526 |
| County: | Madison |
| Place of Formation: | Madison County |
| Registered Office Street Address: | 1230 SLAUGHTER RD STE CMADISON, AL 35758 |
| Registered Office Street Address ZIP Code: | 35758 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447868757 | 2020-07-22 | 2020-10-01 | 1230 SLAUGHTER RD STE C, MADISON, AL, 357585901, US | 1230 SLAUGHTER RD STE C, MADISON, AL, 357585901, US | |||||||||||||||||
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| Phone | +1 256-325-0955 |
Authorized person
| Name | BLAKE HAMILTON GILLIAM |
| Role | CRNP |
| Phone | 2563250955 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| GILLIAM, BLAKE | Agent | 1230 SLAUGHTER RD STE CMADISON, AL 35758 |
| Name | Role | Address |
|---|---|---|
| GILLIAM, BLAKE | Organizer | 1230 SLAUGHTER RD STE CMADISON, AL 35758 |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
