Name: | Ivy Creek of Butler, L.L.C. |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Exists |
Date of registration: | 19 Nov 2012 (12 years ago) |
Entity Number: | 000-270-075 |
Register Number: | 000270075 |
ZIP code: | 36033 |
County: | Butler |
Place of Formation: | Butler County |
Registered Office Street Address: | 515 MIRANDA STREETGEORGIANA, AL 36033 |
Activities
TRANSACT ANY LAWFUL BUSINESS
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1629413745 | 2013-05-02 | 2013-05-02 | 515 N MIRANDA AVE, GEORGIANA, AL, 360334519, US | 515 N MIRANDA AVE, GEORGIANA, AL, 360334519, US | |||||||||||||||
|
Phone | +1 334-376-2205 |
Fax | 3343763660 |
Authorized person
Name | MR. MICHAEL D BRUCE |
Role | CEO |
Phone | 3343762963 |
Taxonomy
Taxonomy Code | 207P00000X - Emergency Medicine Physician |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
BRUCE, MIKE | Agent | 201 MARIARDEN RDDADEVILLE, AL 36853 |
Name | Role | Address |
---|---|---|
IVY CREEK HEALTHCARE LLC | Member | 16020 SW 80TH AVENUEMIAMI, FL 33157 |
Name | Role | Address |
---|---|---|
IVY CREEK HEALTHCARE LLC | Organizer | 16020 SW 80TH AVENUEMIAMI, FL 33157 |
MOORE, BRIAN W | Organizer | 2740 ZELDA ROADMONTGOMERY, AL 36106 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State