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IRC-ScionHealth Selma, LLC

Details

Name: IRC-ScionHealth Selma, LLC
Jurisdiction: Alabama
Legal type: Foreign Limited Liability Company
Status: Exists
Date of registration: 12 Sep 2022 (2 years ago) (Companies founded in September 2022)
Entity Number: 001-044-945
Register Number: 001044945
ZIP code: 36703 (Companies in Dallas, 36703)
County: Dallas
Place of Formation: Delaware
Principal Mailing Address: 1550 W McEwen Drive, Suite 600Franklin, TN 37067
Registered Office Street Address: 641 South Lawrence StreetMontgomery, AL 36104
Principal Address: 1360 E Highland AvenueSelma, AL 36703

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1568145985 2023-08-11 2023-10-13 1360 E HIGHLAND AVE, SELMA, AL, 367033210, US 1360 E HIGHLAND AVE, SELMA, AL, 367033210, US

Contacts

Phone +1 334-876-0076
Fax 3343754049

Authorized person

Name MRS. SARA ANNE BRADY
Role CHIEF NURSING OFFICER
Phone 2083717878

Taxonomy

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

Agent

Name Role Address
Corporation Service Company Agent 251 Little Falls DriveWilmington, DE 19808

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State