| Name: | Jackson Surgery Center, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 09 Jan 2006 (19 years ago) |
| Entity Number: | 000-473-283 |
| Register Number: | 000473283 |
| Place of Formation: | Montgomery County |
| Principal Address: | MONTGOMERY, AL |
| Registered Office Street Address: | 1725 PINE STMONTGOMERY, AL 36106-1117 |
Activities
OPERATE/MANAGE "THE JACKSON SURGERY CENTER" (MONTGOMERY
AL)
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336375930 | 2009-06-09 | 2022-02-14 | 1725 PARK PL, MONTGOMERY, AL, 361061138, US | 1725 PARK PL, MONTGOMERY, AL, 361061138, US | |||||||||||||||||||
|
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| Phone | +1 334-293-8484 |
| Fax | 3342936880 |
Authorized person
| Name | MISSY SALLAS |
| Role | ADMINISTRATOR |
| Phone | 3342933920 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| License Number | PENDING |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| JACKSON HOSPITAL & CLINIC INC | Agent |
| Name | Role |
|---|---|
| JACKSON HOSPITAL & CLINIC INC | Member |
| Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 345923692 | 0418600 | 2022-04-26 | 1725 PINE ST, MONTGOMERY, AL, 36106 | |||||||||||||||||||||||||||||||||||||||||||||
|
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| Type | Referral |
| Activity Nr | 1800758 |
| Health | Yes |
Violation Items
| Citation ID | 01001 |
| Citaton Type | Other |
| Standard Cited | 19040041 A02 |
| Issuance Date | 2022-06-10 |
| Current Penalty | 1233.0 |
| Initial Penalty | 1233.0 |
| Final Order | 2022-07-07 |
| Nr Instances | 1 |
| Nr Exposed | 94 |
| FTA Current Penalty | 0.0 |
| Citation text line | 29 CFR 1904.41(a)(2):The establishment had 20 or more employees but fewer than 250 employees at any time during the previous calendar year, and the establishment was classified in an industry listed in appendix A to subpart E of this part, and the employer did not electronically submit information from OSHA Form 300A Summary of Work-Related Injuries and Illnesses to OSHA or OSHA's designee by the specified date: Located at the Jackson Surgical Center, LLC, 1725 Park Place Montgomery, AL: a) On or about March 2, 2022, the employer failed to electronically submit information from their OSHA Form 300A, Summary of Work-Related Injuries and Illnesses or equivalent form, for calendar year 2021 on or before March 2, 2022. The establishment employed 70 employees and is classified 622110 - (General Medical and Surgical Hospitals) during calendar year 2021. |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
