| Name: | SHOALS AMBULANCE, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 06 Feb 2012 (13 years ago) |
| Entity Number: | 000-027-593 |
| Register Number: | 000027593 |
| Historical Names: |
SHOALS AMBULANCE,INC.
|
| ZIP code: | 35020 |
| County: | Jefferson |
| Place of Formation: | Lauderdale County |
| Principal Mailing Address: | 8501 E PRINCESS DRIVE, STE 195SCOTTSDALE, AZ 85255 |
| Registered Office Street Address: | 2 NORTH JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
| Principal Address: | 1826 3RD AVENUE N, SUITE 307BESSEMER, AL 35020 |
Activities
TO OWN
OPERATE
MANAGE
AND GENERALLY TO CONDUCT ANY BUSINESS
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | SHOALS AMBULANCE, LLC, MISSISSIPPI | 1039420 | MISSISSIPPI |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| PSQMB293ATK5 | 2024-11-26 | 1826 3RD AVE N STE 307, BESSEMER, AL, 35020, 4900, USA | 5251 S EAST STREET, SUITE 5, INDIANAPOLIS, IN, 46227, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Division Name | SEALS AMBULANCE SERVICE, INC |
| Congressional District | 07 |
| State/Country of Incorporation | AL, USA |
| Activation Date | 2023-11-30 |
| Initial Registration Date | 2023-11-27 |
| Entity Start Date | 2014-04-01 |
| Fiscal Year End Close Date | Dec 31 |
Service Classifications
| NAICS Codes | 621910 |
| Product and Service Codes | V225 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | ROBERT JEWELL |
| Role | CHIEF REVENUE INTEGRATION OFFICER |
| Address | 1826 3RD AVE N SUITE 307, BESSEMER, AL, 35020, USA |
| Title | ALTERNATE POC |
| Name | BOB JEWELL |
| Role | CHIEF REVENUE INTEGRATION OFFICER |
| Address | 1826 3RD AVE N SUITE 307, BESSEMER, AL, 35020, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | ROBERT JEWELL |
| Role | CHIEF REVENUE INTEGRATION OFFICER |
| Address | 1826 3RD AVE N SUITE 307, BESSEMER, AL, 35020, USA |
| Title | ALTERNATE POC |
| Name | BOB JEWELL |
| Role | CHIEF REVENUE INTEGRATION OFFICER |
| Address | 1826 3RD AVE N SUITE 307, BESSEMER, AL, 35020, USA |
| Past Performance | |
|---|---|
| Title | PRIMARY POC |
| Name | BOB JEWELL |
| Role | CHIEF REVENUE INTEGRATION OFFICER |
| Address | 1826 3RD AVE N SUITE 307, BESSEMER, AL, 35020, USA |
| Title | ALTERNATE POC |
| Name | NETALENE MAHARAJ |
| Address | 5251 S. EAST ST, SUITE 5, INDIANAPOLIS, IN, 46227, USA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497177695 | 2014-01-08 | 2016-04-27 | 5251 S EAST ST, SUITE 5, INDIANAPOLIS, IN, 462272038, US | 310 E DR HICKS BLVD, FLORENCE, AL, 356305770, US | |||||||||||||||||
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| Phone | +1 844-597-4911 |
| Phone | +1 256-275-3342 |
Authorized person
| Name | MR. MICKEUL B GIBSON |
| Role | CEO |
| Phone | 8445974911 |
Taxonomy
| Taxonomy Code | 3416L0300X - Land Ambulance |
| State | TN |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 6190 POWERS FERRY RD STE 600ATLANTA, GA 30339 |
| Name | Role | Address |
|---|---|---|
| GIBSON, BRYAN | Organizer | 7610 E SOARING EAGLE WAYSCOTTSDALE, AZ 85266 |
| PITTS, CONRAD C | Organizer | 401 EAST TUSCALOOSA STFLORENCE, AL 35630 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2013-12-18 | Name Change | SHOALS AMBULANCE,INC. | SHOALS AMBULANCE, LLC |
| Status | User ID | Name of Firm | Trade Name | UEI | Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Active | P3210012 | SHOALS AMBULANCE, LLC | - | PSQMB293ATK5 | 1826 3RD AVE N STE 307, BESSEMER, AL, 35020-4900 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| HUBZone Certified | No |
| Women Owned Certified | No |
| Women Owned Pending | No |
| Economically Disadvantaged Women Owned Certified | No |
| Economically Disadvantaged Women Owned Pending | No |
| Veteran-Owned Small Business Certified | No |
| Veteran-Owned Small Business Joint Venture | No |
| Service-Disabled Veteran-Owned Small Business Certified | No |
| Service-Disabled Veteran-Owned Small Business Joint Venture | No |
Bonding Levels
| Description | Construction Bonding Level (per contract) |
| Level | (none given) |
| Description | Construction Bonding Level (aggregate) |
| Level | (none given) |
| Description | Service Bonding Level (per contract) |
| Level | (none given) |
| Description | Service Bonding Level (aggregate) |
| Level | (none given) |
NAICS Codes with Size Determinations by NAICS
| Primary | Yes |
| Code | 621910 |
| NAICS Code's Description | Ambulance Services |
| Buy Green | Yes |
Export Profile (Trade Mission Online)
| Exporter | Firm hasn't answered this question yet |
| Export Business Activities | (none given) |
| Exporting to | (none given) |
| Desired Export Business Relationships | (none given) |
| Description of Export Objective(s) | (none given) |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
