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Village Healthcare, P.C.

Details

Name: Village Healthcare, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 02 Apr 2004 (21 years ago)
Date of dissolution: 04 May 2018
Entity Number: 000-234-556
Register Number: 000234556
ZIP code: 35757
County: Madison
Place of Formation: Madison County
Principal Address: MADISON, AL
Registered Office Street Address: 7349 WALL TRIANA HWYMADISON, AL 35757
Authorized Capital: $5,000
Paid Share Capital: $100

Activities MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1215901814 2006-02-13 2020-08-22 PO BOX 29, HARVEST, AL, 357490029, US 7 TOWN CENTER DR, SUITE 301, HUNTSVILLE, AL, 358062672, US

Contacts

Phone +1 256-382-0830
Fax 2563820833

Authorized person

Name DR. MARIE C CEBERT
Role PRESIDENT
Phone 2563820830

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
License Number DO-656
State AL
Is Primary No
Taxonomy Code 207R00000X - Internal Medicine Physician
License Number DO-656
State AL
Is Primary No

Agent

Name Role
CEBERT, MARIE Agent

Incorporator

Name Role
CEBERT, MARIE Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State