| Entity Name: | HOSPITALIST MEDICINE PHYSICIANS OF MISSISSIPPI - TCS, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Profit |
| Status: | Active |
| Date Filed: | 22 May 2024 (8 months ago) |
| Document Number: | F24000003086 |
| Address: | 120 BRENTWOOD COMMONS WAY, SUITE 510, BRENTWOOD, TN, 37027, US |
| Mail Address: | 120 BRENTWOOD COMMONS WAY, SUITE 510, BRENTWOOD, TN, 37027, US |
| Place of Formation: | MICHIGAN |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023866597 | 2024-05-09 | 2024-05-14 | 5410 MARYLAND WAY STE 300, BRENTWOOD, TN, 370275339, US | 400 HEALTH PARK BLVD, ST AUGUSTINE, FL, 320865784, US | |||||||||||||
|
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| Phone | +1 615-377-5658 |
Authorized person
| Name | SHANNON LAGRONE |
| Role | DIRECTOR PAYER ENROLLMENT |
| Phone | 2144225715 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Address |
|---|---|---|
| BIRKMEYER JOHN | President | 120 BRENTWOOD COMMONS WAY, SUITE 510, BRENTWOOD, TN, 37027 |
| Name | Role | Address |
|---|---|---|
| TEMPLER MICHAEL | Treasurer | 120 BRENTWOOD COMMONS WAY, SUITE 510, BRENTWOOD, TN, 37027 |
| Name | Role | Address |
|---|---|---|
| VAUGHAN LINDSEY | Assistant Secretary | 120 BRENTWOOD COMMONS WAY, SUITE 510, BRENTWOOD, TN, 37027 |
| SOLARSKI ANDREW | Assistant Secretary | 120 BRENTWOOD COMMONS WAY, SUITE 510, BRENTWOOD, TN, 37027 |
| Name | Role | Address |
|---|---|---|
| KLUG NICOLE | Secretary | 120 BRENTWOOD COMMONS WAY, SUITE 510, BRENTWOOD, TN, 37027 |
| Name | Role | Address |
|---|---|---|
| ALTER JEFF | Director | 120 BRENTWOOD COMMONS WAY, SUITE 510, BRENTWOOD, TN, 37027 |
| Name | Date |
|---|---|
| Foreign Profit | 2024-05-22 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
