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