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Extended Care Medical Associates, LLC

Headquarter

Details

Name: Extended Care Medical Associates, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 19 Sep 2011 (13 years ago)
Entity Number: 000-025-534
Register Number: 000025534
ZIP code: 36303
County: Houston
Place of Formation: Houston County
Registered Office Street Address: 110 MEDICAL DRDOTHAN, AL 36303

Activities PROVIDE PROFESSIONAL MEDICAL CARE

Links between entities

Type Company Name Company Number State
Headquarter of Extended Care Medical Associates, LLC, FLORIDA M21000014083 FLORIDA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1902182371 2011-10-28 2024-01-22 PO BOX 6289, DOTHAN, AL, 363026289, US 256 HONEYSUCKLE RD STE 20, DOTHAN, AL, 363051168, US

Contacts

Phone +1 334-699-3320
Fax 3346993341
Fax 3346993342

Authorized person

Name DR. BOBBY STEPHEN SANDERS JR.
Role OWNER / MD
Phone 3346993320

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Agent

Name Role Address
PARSONS, DAVID W Agent 110 MEDICAL DRIVEDOTHAN, AL 36303

Organizer

Name Role Address
SANDERS, STEPHEN B JR Organizer 110 MEDICAL DRDOTHAN, AL 36303
HINESLEY, WILLIAM W Organizer 291 NORTH OATES STEETDOTHAN, AL 36302

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State