| Name: | Grand Bay Medical Center, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Non-Profit Corporation |
| Status: | Exists |
| Date of registration: | 19 Oct 2000 (24 years ago) |
| Entity Number: | 000-918-280 |
| Register Number: | 000918280 |
| Branch of: | Grand Bay Medical Center, Inc., Mississippi (Company Number 693394) |
| ZIP code: | 36541 |
| County: | Mobile |
| Place of Formation: | Mississippi |
| Principal Address: | 2012 HWY 90 STE 34GAUTIER, MS 39553 |
| Registered Office Street Address: | 10075 GRAND BAY WILMER RDGRAND BAY, AL 36541 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558570978 | 2007-05-22 | 2009-03-30 | 2012 HIGHWAY 90, SUITE 34, GAUTIER, MS, 395535306, US | 10075 GRAND BAY WILMER RD S, GRAND BAY, AL, 365415003, US | |||||||||||||||||
|
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| Phone | +1 251-865-9111 |
Authorized person
| Name | MR. GREG SHOEMAKER |
| Role | ASSOC. ADMIN. OF BUS. DEVELOPMENT |
| Phone | 2284977909 |
Taxonomy
| Taxonomy Code | 261QM1300X - Multi-Specialty Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QR1300X - Rural Health Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| RICHARD, SONYA B | Agent |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
