| Name: | North Alabama Family Medicine LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 08 Jul 2008 (17 years ago) |
| Entity Number: | 000-422-293 |
| Register Number: | 000422293 |
| ZIP code: | 36104 |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Registered Office Street Address: | 2 NORTH JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
Activities
FAMILY MEDICINE SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366696171 | 2008-11-06 | 2008-11-06 | 101 WESTOVER CIRCLE, SUITE B, MADISON, AL, 357580000, US | 8000 MADISON BLVD, SUITE D-102, MADISON, AL, 357582031, US | |||||||||||||||||||
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| Phone | +1 256-606-9303 |
Authorized person
| Name | MARILYN M SALADA-LIGON |
| Role | OWNER/PHYSICIAN |
| Phone | 2566069303 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | PENDING |
| State | AL |
| Name | Role |
|---|---|
| NATIONAL REGISTERED AGENTS INC | Agent |
| Name | Role | Address |
|---|---|---|
| SALADA-LIGON, MARILYN | Member | 101 WESTOVER CIRCLE SUITE BMADISON, AL 35758 |
| Name | Role | Address |
|---|---|---|
| SALADA-LIGON, MARILYN | Organizer | 101 WESTOVER CIRCLE SUITE BMADISON, AL 35758 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 2978657104 | 2020-04-11 | 0459 | PPP | 101 WESTOVER CIR, MADISON, AL, 35758-4900 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
