| Name: | HS Clinical Services, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Professional Corporation |
| Status: | Exists |
| Date of registration: | 06 May 2008 (17 years ago) (Companies founded in May 2008) |
| Entity Number: | 000-945-180 |
| Register Number: | 000945180 |
| ZIP code: | 36104 (Companies in Montgomery, 36104) |
| County: | Montgomery |
| Place of Formation: | Tennessee |
| Principal Address: | 9009 CAROTHERS PKWYFRANKLIN, TN 37067-1704 |
| Registered Office Street Address: | 2 NORTH JACKSON STREET, SUITE 605MONTGOMERY, AL 36104 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194108449 | 2015-07-06 | 2019-06-05 | 1340 S DAMEN AVE, SUITE 400, CHICAGO, IL, 606081169, US | 2 CHASE CORPORATE DR, SUITE 300, HOOVER, AL, 352441016, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 708-292-4800 |
| Phone | +1 773-292-4800 |
Authorized person
| Name | DIRK O WALES |
| Role | CEO/OWNER |
| Phone | 6155643511 |
Taxonomy
| Taxonomy Code | 171M00000X - Case Manager/Care Coordinator |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 207QH0002X - Hospice and Palliative Medicine (Family Medicine) Physician |
| Is Primary | No |
| Taxonomy Code | 207RH0002X - Hospice and Palliative Medicine (Internal Medicine) Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| C T CORPORATION SYSTEM | Agent | 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
