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ArchWell Health Professional Services of Alabama, LLC

Details

Name: ArchWell Health Professional Services of Alabama, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 09 Apr 2021 (4 years ago)
Entity Number: 000-845-959
Register Number: 000845959
County: Montgomery
Place of Formation: Alabama
Registered Office Street Address: 2 North Jackson Street, Suite 605Montgomery, AL 36104
Registered Office Street Address ZIP Code: 36104

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1033792502 2021-05-03 2023-04-05 102 WOODMONT BLVD STE 600, NASHVILLE, TN, 372055250, US 165 BESSEMER SUPER HWY, MIDFIELD, AL, 352282101, US

Contacts

Phone +1 888-987-1151

Authorized person

Name LISA LUCAS
Role CHIEF ADMINISTRATIVE OFFICER
Phone 6154190947

Taxonomy

Taxonomy Code 207QG0300X - Geriatric Medicine (Family Medicine) Physician
Is Primary No
Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes
Taxonomy Code 207RG0300X - Geriatric Medicine (Internal Medicine) Physician
Is Primary No

Agent

Name Role
C T Corporation System Agent

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State