| Name: | University of South Alabama Health Services Foundation |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Non-Profit Corporation |
| Status: | Exists |
| Date of registration: | 10 Mar 1976 (49 years ago) |
| Entity Number: | 000-806-615 |
| Register Number: | 000806615 |
| ZIP code: | 36688 |
| County: | Mobile |
| Place of Formation: | Mobile County |
| Principal Address: | MOBILE, AL |
| Registered Office Street Address: | 307 UNIVERSITY BLVD N ROOM 140MOBILE, AL 36688 |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | University of South Alabama Health Services Foundation, MISSISSIPPI | 703380 | MISSISSIPPI |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477931822 | 2015-05-18 | 2015-05-18 | PO BOX 40480, MOBILE, AL, 366400480, US | 1707 CENTER STREET, SUITE 102, MOBILE, AL, 366043305, US | |||||||||||||||||||
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| Phone | +1 251-434-3626 |
| Fax | 2514452464 |
| Phone | +1 251-415-1496 |
| Fax | 2514151450 |
Authorized person
| Name | BECKY S TATE |
| Role | CHIEF EXECUTIVE OFFICER |
| Phone | 2514705842 |
Taxonomy
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| DONOVAN, ARTHUR J | Incorporator |
| WHIDDON, FREDERICK P | Incorporator |
| ROBINSON, ARVIN E | Incorporator |
| Name | Role |
|---|---|
| KRISTIN DANIELS DUKES | Agent |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
