| Name: | ICP Alabama ACO Billing, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 30 Apr 2021 (4 years ago) |
| Date of dissolution: | 27 Dec 2022 |
| Entity Number: | 000-850-846 |
| Register Number: | 000850846 |
| 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 | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1841874013 | 2021-05-12 | 2021-05-12 | PO BOX 9178, RUSSELLVILLE, AR, 728119178, US | 1 CHASE CORPORATE CENTER STE 400, BIRMINGHAM, AL, 352447001, US | |||||||||||||||
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| Phone | +1 855-498-6767 |
| Fax | 4799681673 |
Authorized person
| Name | RODNEY THOMASON |
| Role | AUTHORIZED OFFICIAL |
| Phone | 5014066180 |
Taxonomy
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 6190 POWERS FERRY RD STE 600ATLANTA, GA 30339 |
| Name | Role | Address |
|---|---|---|
| STOCKEMER, TAYLOR | Organizer | 400 WEST CAPITOL AVE STE 2000LITTLE ROCK, AR 72201 |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
