| Name: | Warrior Medical Associates, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 07 Nov 2001 (23 years ago) |
| Entity Number: | 000-219-653 |
| Register Number: | 000219653 |
| ZIP code: | 35180 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | WARRIOR, AL |
| Registered Office Street Address: | 100 DANA RDWARRIOR, AL 35180 |
| Authorized Capital: | 50,000 |
| Paid Share Capital: | $1,000 |
Activities
OWN/OPERATE A MEDICAL CLINIC
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215022793 | 2006-10-03 | 2019-04-16 | 100 DANA ROAD, WARRIOR, AL, 35180, US | 100 DANA ROAD, WARRIOR, AL, 35180, US | |||||||||||||||||||||||
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| Phone | +1 205-647-6333 |
| Fax | 2056478666 |
Authorized person
| Name | ASHLEY CARR SCOGGINS |
| Role | NURSE PRACTITIONER |
| Phone | 2056476333 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 529910250 |
| State | AL |
| Name | Role |
|---|---|
| HARPER, OLIVER H | Agent |
| Name | Role |
|---|---|
| HARPER, OLIVER H | Incorporator |
| HARPER, CHRISTOPHER O | Incorporator |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1129657301 | 2020-04-28 | 0459 | PPP | 100 DANA RD, WARRIOR, AL, 35180-1420 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
