| Name: | Main Street Medical Clinic, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 04 Feb 2011 (14 years ago) (Companies founded in February 2011) |
| Date of dissolution: | 21 Dec 2020 |
| Entity Number: | 000-002-665 |
| Register Number: | 000002665 |
| ZIP code: | 35125 (Companies in Saint Clair, 35125) |
| County: | Saint Clair |
| Place of Formation: | Saint Clair County |
| Registered Office Street Address: | 1508 COGSWELL AVEPELL CITY, AL 35125 |
Activities
PROVIDE MEDICAL SERVICES TO THE COMMUNITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306145289 | 2011-03-18 | 2011-03-18 | 1508 COGSWELL AVE, PELL CITY, AL, 351251243, US | 1508 COGSWELL AVE, PELL CITY, AL, 351251243, US | |||||||||||||||||||
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| Phone | +1 205-814-1598 |
| Fax | 2058141587 |
Authorized person
| Name | MARY SUE SUGGS |
| Role | OWNER |
| Phone | 2058141598 |
Taxonomy
| Taxonomy Code | 261QR1300X - Rural Health Clinic/Center |
| License Number | 113466 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| MARTIN, MITZI | Agent |
| Name | Role | Address |
|---|---|---|
| SUGGS, MARY SUE | Organizer | 3204 ALTALOMA DRVESTAVIA HILLS, AL 35216 |
Date of last update: 29 Jul 2024
Sources: Alabama Secretary of State
