Name: | Alabama Family Practice, P. C. |
Jurisdiction: | Alabama |
Legal type: | Domestic Corporation |
Status: | Exists |
Date of registration: | 23 Apr 1996 (29 years ago) |
Entity Number: | 000-179-291 |
Register Number: | 000179291 |
ZIP code: | 36117 |
County: | Montgomery |
Place of Formation: | Montgomery County |
Principal Address: | MONTGOMERY, AL |
Registered Office Street Address: | 370 SAINT LUKES DRIVEMONTGOMERY, AL 36117 |
Authorized Capital: | $100 |
Paid Share Capital: | -- |
Activities
FAMILY MEDICINE PRACTICE
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1568557502 | 2006-10-04 | 2012-07-25 | 370 ST. LUKES DRIVE, MONTGOMERY, AL, 36117, US | 370 ST. LUKES DRIVE, MONTGOMERY, AL, 36117, US | |||||||||||||||||||||||||||||||||||||||||||||||||
|
Phone | +1 334-213-3606 |
Fax | 3342133608 |
Authorized person
Name | DR. KATHY CODY LINDSEY |
Role | PHYSICIAN AND MANAGER |
Phone | 3342133606 |
Taxonomy
Taxonomy Code | 207Q00000X - Family Medicine Physician |
License Number | 13088 |
State | AL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | BLUE CROSS DR. MARK LINDS |
Number | 28802 |
State | AL |
Issuer | MEDICAID |
Number | 000026378 |
State | AL |
Issuer | UNITED DR. MARK LINDSEY |
Number | 0110087 |
State | AL |
Issuer | BLUE CROSS DR. KATHY LIND |
Number | 26378 |
State | AL |
Issuer | UNITED DR. KATHY LINDSEY |
Number | 0110067 |
State | AL |
Name | Role |
---|---|
LINDSEY, KATHY | Incorporator |
Name | Role |
---|---|
LINDSEY, KATHY | Agent |
Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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9381987010 | 2020-04-09 | 0459 | PPP | 370 St Lukes Dr, MONTGOMERY, AL, 36117 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State