| Name: | Vester Health Center, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 10 Sep 1997 (27 years ago) (Companies founded in September 1997) |
| Entity Number: | 000-657-325 |
| Register Number: | 000657325 |
| ZIP code: | 36862 (Companies in Chambers, 36862) |
| County: | Chambers |
| Place of Formation: | Chambers County |
| Principal Address: | 140 1ST STREET SELAFAYETTE, AL 36862 |
Activities
PROVIDE PRIMARY HEALTH CARE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043371883 | 2006-12-13 | 2010-12-02 | 140 1ST ST SE, LAFAYETTE, AL, 368622304, US | 140 1ST ST SE, LAFAYETTE, AL, 368622304, US | |||||||||||||||||||||||||||||||||
|
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| Phone | +1 334-864-7887 |
| Fax | 3348640460 |
Authorized person
| Name | DR. TERRY YVONNE VESTER |
| Role | CO-OWNER |
| Phone | 3348647887 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | 11415 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | 10617 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 529800230 |
| State | AL |
| Name | Role |
|---|---|
| VESTER, TERRY | Agent |
| Name | Role |
|---|---|
| VESTER, AL | Member |
| VESTER, TERRY | Member |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
