Search icon

Ivy Creek of Butler, L.L.C.

Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role Address
BRUCE, MIKE Agent 201 MARIARDEN RDDADEVILLE, AL 36853

Member

Name Role Address
IVY CREEK HEALTHCARE LLC Member 16020 SW 80TH AVENUEMIAMI, FL 33157

Organizer

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