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Renal Care Group of the Southeast, Inc.

Details

Name: Renal Care Group of the Southeast, Inc.
Jurisdiction: Alabama
Legal type: Foreign Corporation
Status: Exists
Date of registration: 19 Aug 1987 (37 years ago) (Companies founded in August 1987)
Entity Number: 000-906-631
Register Number: 000906631
Historical Names: The Nephrology Center, Inc.
ZIP code: 36535 (Companies in Baldwin, 36535)
County: Baldwin
Place of Formation: Florida
Principal Address: 1717 NORTH E STREETPENSACOLA, FL 32501
Registered Office Street Address: 14230 NORRIS LANEFOLEY, AL 36535

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1003928847 2006-08-31 2023-10-16 1208 W BYPASS, ANDALUSIA, AL, 364205204, US 1208 W BYPASS, ANDALUSIA, AL, 364205204, US

Contacts

Phone +1 334-427-0147
Fax 3344270146

Authorized person

Name BARRY L. BLANTON
Role VICE PRESIDENT
Phone 7816999000

Taxonomy

Taxonomy Code 261QE0700X - End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Is Primary Yes

Agent

Name Role
MACKS, LINDA Agent

Events

Event Date Event Type Old Value New Value
1999-06-08 Name Change The Nephrology Center, Inc. Renal Care Group of the Southeast, Inc.

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State