| Name: | Infirmary ASC-Fairhope, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 29 Jul 2021 (3 years ago) |
| Entity Number: | 000-875-621 |
| Register Number: | 000875621 |
| County: | Mobile |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 5 Mobile Infirmary CircleMobile, AL 36607 |
| Registered Office Street Address ZIP Code: | 36607 |
| Registered Office Mailing Address: | PO Box 2226Mobile, AL 36652 |
| Registered Office Mailing Address ZIP Code: | 36652 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1699421024 | 2022-02-24 | 2022-02-24 | 7110 CROSSWOODS BLVD, SUITE 100, BRENTWOOD, TN, 37027, US | 411 N SECTION ST, FAIRHOPE, AL, 365322649, US | |||||||||||||||
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| Phone | +1 615-550-2600 |
| Phone | +1 614-374-6496 |
Authorized person
| Name | CARLA EVANS |
| Role | RVP OF OPS |
| Phone | 6143746496 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| Nix, D M | Agent |
| Name | Role | Address |
|---|---|---|
| Gulf Health Physician Partners, LLC | Organizer | PO Box 2226Mobile, AL 36652 |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
