| Name: | Woodland Emergency Group, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 11 Aug 2006 (19 years ago) |
| Date of dissolution: | 07 Dec 2012 |
| Entity Number: | 000-482-809 |
| Register Number: | 000482809 |
| ZIP code: | 36104 |
| County: | Montgomery |
| Place of Formation: | Montgomery County |
| Registered Office Street Address: | 2 NORTH JACKSON ST., SUITE 605MONTGOMERY, AL 36104 |
Activities
ANY LAWFUL ACTIVITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275650681 | 2007-03-23 | 2009-06-02 | 200 CORPORATE BLVD, SUITE 201, LAFAYETTE, LA, 705083870, US | 1910 CHEROKEE AVE SW, CULLMAN, AL, 350555502, US | |||||||||||||||||||||||||||
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| Phone | +1 256-739-3500 |
Authorized person
| Name | DR. WILLIAM C SCHUMACHER |
| Role | CEO |
| Phone | 8008939698 |
Taxonomy
| Taxonomy Code | 207P00000X - Emergency Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 363AM0700X - Medical Physician Assistant |
| Is Primary | No |
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 529932893 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| C T CORPORATION SYSTEM | Agent | 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104 |
| Name | Role |
|---|---|
| SCHUMACHER MEDICAL CORPORATION OF | Member |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
