| Name: | Russellville Musculoskeletal Center, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 28 Feb 2007 (18 years ago) |
| Entity Number: | 000-251-448 |
| Register Number: | 000251448 |
| ZIP code: | 35653 |
| County: | Franklin |
| Place of Formation: | Franklin County |
| Principal Address: | RUSSELLVILLE, AL |
| Registered Office Street Address: | 101 JAMES HOVATER RDRUSSELLVILLE, AL 35653 |
| Authorized Capital: | $100 |
| Paid Share Capital: | $100 |
Activities
MEDICAL PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063594539 | 2006-10-20 | 2010-02-16 | PO BOX 57, RUSSELLVILLE, AL, 356530057, US | 13150 HIGHWAY 43, SUITE 12, RUSSELLVILLE, AL, 356534558, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 256-332-6215 |
| Fax | 2563313430 |
Authorized person
| Name | DR. SAID GOTO OSMAN |
| Role | MD PRESIDENT |
| Phone | 2563326215 |
Taxonomy
| Taxonomy Code | 207X00000X - Orthopaedic Surgery Physician |
| License Number | 27698 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICARE IDENTIFICATION NUMBER |
| Number | L026 |
| State | AL |
| Issuer | MEDICAID |
| Number | 529930670 |
| State | AL |
| Name | Role |
|---|---|
| OSMAN, SAID GOTO | Agent |
| Name | Role |
|---|---|
| OSMAN, SAID GOTO | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
