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University of South Alabama Health Services Foundation

Details

Name: University of South Alabama Health Services Foundation
Jurisdiction: Alabama
Legal type: Domestic Non-Profit Corporation
Status: Exists
Date of registration: 10 Mar 1976 (49 years ago) (Companies founded in March 1976)
Entity Number: 000-806-615
Register Number: 000806615
ZIP code: 36688 (Companies in Mobile, 36688)
County: Mobile
Place of Formation: Mobile County
Principal Address: MOBILE, AL
Registered Office Street Address: 307 UNIVERSITY BLVD N ROOM 140MOBILE, AL 36688

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1477931822 2015-05-18 2015-05-18 PO BOX 40480, MOBILE, AL, 366400480, US 1707 CENTER STREET, SUITE 102, MOBILE, AL, 366043305, US

Contacts

Phone +1 251-434-3626
Fax 2514452464
Phone +1 251-415-1496
Fax 2514151450

Authorized person

Name BECKY S TATE
Role CHIEF EXECUTIVE OFFICER
Phone 2514705842

Taxonomy

Taxonomy Code 261QM1300X - Multi-Specialty Clinic/Center
Is Primary Yes

Incorporator

Name Role
DONOVAN, ARTHUR J Incorporator
WHIDDON, FREDERICK P Incorporator
ROBINSON, ARVIN E Incorporator

Agent

Name Role
KRISTIN DANIELS DUKES Agent

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State