| Name: | USA HEALTH COMMUNITY PROVIDERS, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 02 May 2023 (2 years ago) |
| Entity Number: | 001-077-223 |
| Register Number: | 001077223 |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 307 University Blvd., North, AD 140MOBILE, AL 36688-0002 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1609694348 | 2024-10-01 | 2024-10-01 | PO BOX 36258, BELFAST, ME, 049151204, US | 5297 ST. IGNATUIS DR, MOBILE, AL, 36608, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 251-434-3475 |
Authorized person
| Name | BENNY JOSEPH STOVER |
| Role | CFO |
| Phone | 2514459164 |
Taxonomy
| Taxonomy Code | 207QS0010X - Sports Medicine (Family Medicine) Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| DUKES, KRISTIN D | Agent |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
