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Oak Street Health Physicians Group of Alabama LLC

Details

Name: Oak Street Health Physicians Group of Alabama LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 19 Mar 2021 (4 years ago)
Entity Number: 000-841-724
Register Number: 000841724
County: Montgomery
Place of Formation: Montgomery County
Registered Office Street Address: 2 NORTH JACKSON STREET STE 605MONTGOMERY, AL 36104
Registered Office Street Address ZIP Code: 36104

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1770161432 2021-04-01 2023-06-29 30 W MONROE ST STE 1200, CHICAGO, IL, 606032420, US 1687 CENTER POINT PKWY STE 121, BIRMINGHAM, AL, 352155525, US

Contacts

Phone +1 312-733-9730
Fax 7738668014
Phone +1 205-557-7022
Fax 2058312849

Authorized person

Name GRIFFIN MYERS
Role CMO
Phone 3072642085

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary No
Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary No
Taxonomy Code 261QP2300X - Primary Care Clinic/Center
Is Primary Yes
Taxonomy Code 363L00000X - Nurse Practitioner
Is Primary No
Taxonomy Code 363LF0000X - Family Nurse Practitioner
Is Primary No

Agent

Name Role Address
CT CORPORATION SYSTEM Agent 6190 POWERS FERRY RD STE 600ATLANTA, GA 30339

Organizer

Name Role Address
LOWENTHAL, LEE Organizer 30 W MONROE STREET STE 1200CHICAGO, IL 60603

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State