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Alegis Care - Alabama, P.C.

Details

Name: Alegis Care - Alabama, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 10 May 2021 (4 years ago)
Entity Number: 000-855-715
Register Number: 000855715
County: Montgomery
Place of Formation: Montgomery County
Principal Address: 530 GREAT CIRCLE ROAD OFFICE D-142NASHVILLE, TN 37228
Registered Office Street Address: 2 NORTH JACKSON STREET, SUITE 605MONTGOMERY, AL 36104
Registered Office Street Address ZIP Code: 36104
Authorized Capital: 100

Activities PRACTICE OF MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1508437112 2021-07-06 2024-07-16 730 COOL SPRINGS BLVD STE 500, FRANKLIN, TN, 370677331, US 2700 CORPORATE DR STE 200, BIRMINGHAM, AL, 352422733, US

Contacts

Phone +1 773-292-4800
Fax 3125644059

Authorized person

Name GRACE BLUE
Role CREDENTIALING SR. MANAGER
Phone 7732924800

Taxonomy

Taxonomy Code 207PH0002X - Hospice and Palliative Medicine (Emergency Medicine) Physician
Is Primary No
Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary No
Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes
Taxonomy Code 207RH0002X - Hospice and Palliative Medicine (Internal Medicine) Physician
Is Primary No

Agent

Name Role Address
C T CORPORATION SYSTEM Agent 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104

Incorporator

Name Role Address
MCLAUGHLIN, RENEE MD Incorporator 530 GREAT CIRCLE ROAD OFFICE D-142NASHVILLE, TN 37228

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State