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Providence Independent Medical Staff

Details

Name: Providence Independent Medical Staff
Jurisdiction: Alabama
Legal type: Domestic Non-Profit Corporation
Status: Exists
Date of registration: 17 Aug 2020 (4 years ago)
Entity Number: 000-644-448
Register Number: 000644448
County: Mobile
Place of Formation: Mobile County
Registered Office Mailing Address: 205 LAMBERT AVENUE, SUITE AMOBILE, AL 36604
Registered Office Mailing Address ZIP Code: 36604
Registered Office Street Address: 6701 AIRPORT BOULEVARD, SUITE A-107MOBILE, AL 36608
Registered Office Street Address ZIP Code: 36608

Activities EXCLUSIVELY FOR CHARITABLE PURPOSES WITHIN THE MEANING OF SECTIO

Agent

Name Role Address
BEDWELL, NOEL Agent 6701 AIRPORT BOULEVARD SUITE A-107MOBILE, AL 36608

Director

Name Role Address
BOYD, BEVERLY Director 150 DU RHU DRIVE #1503MOBILE, AL 36608
BEDWELL, NOEL Director 6701 AIRPORT BOULEVARD SUITE A-107MOBILE, AL 36608
BLAYLOCK, WILLIAM Director 6701 AIRPORT BOULEVARD SUITE B-135MOBILE, AL 36608

Incorporator

Name Role Address
BOYD, BEVERLY Incorporator 150 DU RHU DRIVE #1503MOBILE, AL 36608
BEDWELL, NOEL Incorporator 6701 AIRPORT BOULEVARD SUITE A-107MOBILE, AL 36608
BLAYLOCK, WILLIAM Incorporator 6701 AIRPORT BOULEVARD SUITE B-135MOBILE, AL 36608

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State