| Name: | Cogent Healthcare of Decatur, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 03 Sep 2002 (22 years ago) (Companies founded in September 2002) |
| Entity Number: | 000-684-454 |
| Register Number: | 000684454 |
| ZIP code: | 36104 (Companies in Montgomery, 36104) |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Principal Address: | MONTGOMERY, AL |
| Registered Office Street Address: | 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104 |
Activities
ANY LAWFUL ACTIVITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386695500 | 2006-05-12 | 2021-03-19 | 5410 MARYLAND WAY, SUITE 300, BRENTWOOD, TN, 370275064, US | 809 UNIVERSITY BLVD E, TUSCALOOSA, AL, 35401, US | |||||||||||||||||||||||
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| Phone | +1 615-377-5670 |
| Fax | 6153771687 |
| Phone | +1 205-759-7111 |
Authorized person
| Name | MELISSA HARLAN |
| Role | DIRECTOR |
| Phone | 6155776340 |
Taxonomy
| Taxonomy Code | 207RC0200X - Critical Care Medicine (Internal Medicine) Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 529914400 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY INC | Agent | 251 LITTLE FALLS DRIVEWILMINGTON, DE 19808 |
| Name | Role |
|---|---|
| COGENT HEALTHCARE OF ALABAMA INC | Member |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
