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Mercy Medical Health Center of Gulf Shores

Details

Name: Mercy Medical Health Center of Gulf Shores
Jurisdiction: Alabama
Legal type: Domestic Non-Profit Corporation
Status: Exists
Date of registration: 01 May 2018 (7 years ago) (Companies founded in May 2018)
Entity Number: 000-956-384
Register Number: 000956384
ZIP code: 36542 (Companies in Baldwin, 36542)
County: Baldwin
Place of Formation: Alabama
Registered Office Mailing Address: 3849 GULF SHORES PARKWAY SUITE 9GULF SHORES, AL 36542
Principal Address: 3849 Gulf Shores Parkway, Suite 9Gulf Shores, AL 36542
Registered Office Street Address: 6061 COLONIAL PARKWAY APT 13201Gulf Shores, AL 36542

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
Y2XCD12LK2N6 2024-09-18 3849 GULF SHORES PARKWAY STE 9, GULF SHORES, AL, 36542, 2857, USA PO BOX 70, HODGE, LA, 71247, USA

Business Information

Congressional District 01
State/Country of Incorporation AL, USA
Activation Date 2023-09-21
Initial Registration Date 2022-09-22
Entity Start Date 2022-07-18
Fiscal Year End Close Date Sep 30

Service Classifications

NAICS Codes 621399

Points of Contacts

Electronic Business
Title PRIMARY POC
Name KIMBERLY BRUNSON
Role CEO
Address PO BOX 70, HODGE, LA, 71247, USA
Government Business
Title PRIMARY POC
Name KIMBERLY BRUNSON
Role CEO
Address PO BOX 70, HODGE, LA, 71247, USA
Past Performance Information not Available

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1730960337 2023-10-10 2023-10-10 3849 GULF SHORES PKWY STE 9, GULF SHORES, AL, 365422857, US 3849 GULF SHORES PKWY STE 9, GULF SHORES, AL, 365422857, US

Contacts

Phone +1 251-957-8970
Fax 2519578971

Authorized person

Name KIMBERLY G. BRUNSON
Role CEO
Phone 3182591100

Taxonomy

Taxonomy Code 261Q00000X - Clinic/Center
Is Primary Yes

Agent

Name Role
Brusnon, Kimberly Agent

Director

Name Role Address
BOWMAN, CHRIS Director 30510 RIVER ROADORANGE BEACH, AL 36561

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State