| Name: | Patriot Perioperative Partners, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 04 Oct 2016 (8 years ago) |
| Entity Number: | 000-373-557 |
| Register Number: | 000373557 |
| ZIP code: | 36201 |
| County: | Calhoun |
| Place of Formation: | Calhoun County |
| Registered Office Street Address: | 24 E 12TH STREETANNISTON, AL 36201 |
| Authorized Capital: | 2000 @ $1.00PV |
Activities
ANESTHESIA SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1386194454 | 2016-10-12 | 2016-10-12 | 3104 BLUE LAKE DR, SUITE 110, VESTAVIA, AL, 352432345, US | 2868 ACTON RD, VESTAVIA, AL, 352432502, US | |||||||||||||||
|
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| Phone | +1 334-247-8769 |
| Fax | 3343774417 |
Authorized person
| Name | MR. KEITH JACKSON |
| Role | PARTNER |
| Phone | 2052138420 |
Taxonomy
| Taxonomy Code | 367500000X - Certified Registered Nurse Anesthetist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BENNETT, MATTHEW | Director | 613 MARTIN STREET NORTH STE 300PELL CITY, AL 35125 |
| JACKSON, KEITH | Director | 1977 ROCKY BROOK DRVESTAVIA, AL 35243 |
| GARVEY, SHANNAN | Director | 462 FOREVER WILD LANEOXFORD, AL 36203 |
| Name | Role | Address |
|---|---|---|
| GARVEY, SHANNAN | Incorporator | 462 FOREVER WILD LANEOXFORD, AL 36203 |
| Name | Role | Address |
|---|---|---|
| GARVEY, SHANNAN | Agent | 462 FOREVER WILD LANEOXFORD, AL 36203 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
