| Name: | Allergy & Asthma Center, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 10 Aug 1998 (26 years ago) |
| Date of dissolution: | 05 Jan 2021 |
| Entity Number: | 000-660-797 |
| Register Number: | 000660797 |
| County: | Calhoun |
| Place of Formation: | Calhoun County |
| Principal Address: | OXFORD, AL |
| Registered Office Street Address: | 324 MONGER STOXFORD, AL 36203 |
| Registered Office Street Address ZIP Code: | 36203 |
Activities
MEDICAL OFFICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1447314778 | 2006-12-21 | 2009-01-12 | PO BOX 7190, OXFORD, AL, 362037190, US | 912 SNOW ST, OXFORD, AL, 362031214, US | |||||||||||||||||||||||||||||||||||||||
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| Phone | +1 256-835-1909 |
| Fax | 2568351610 |
Authorized person
| Name | PATRICIA GRUBBE |
| Role | ADMINISTRATOR |
| Phone | 2568351909 |
Taxonomy
| Taxonomy Code | 207K00000X - Allergy & Immunology Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | RAILROAD MEDICARE |
| Number | DN4865 |
| State | AL |
| Issuer | MEDICAID |
| Number | 529900520 |
| State | AL |
| Issuer | BLUECROSS AND BLUESHIELD |
| Number | 51045597 |
| State | AL |
| Issuer | MEDICAID |
| Number | 000045597 |
| State | AL |
| Name | Role |
|---|---|
| GRUBBE, ROBERT E | Agent |
| Name | Role |
|---|---|
| GRUBBE, ROBERT E | Member |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
