| Name: | Island Medical Red Bay, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Merged |
| Date of registration: | 28 Aug 2015 (9 years ago) |
| Entity Number: | 000-342-639 |
| Register Number: | 000342639 |
| ZIP code: | 36104 |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Registered Office Street Address: | 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649789249 | 2017-09-26 | 2017-09-26 | PO BOX 92974, CLEVELAND, OH, 441942974, US | 211 HOSPITAL RD, RED BAY, AL, 355823858, US | |||||||||||||||||
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| Phone | +1 877-716-2447 |
| Fax | 3306565901 |
| Phone | +1 256-356-8160 |
Authorized person
| Name | CHARLES WOLF |
| Role | VP OF FINANCE |
| Phone | 3306565911 |
Taxonomy
| Taxonomy Code | 207P00000X - Emergency Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY INC | Agent | 251 LITTLE FALLS DRIVEWILMINGTON, DE 19808 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
