| Name: | ACSH Urgent Care of Alabama, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 18 Nov 2011 (13 years ago) |
| Entity Number: | 000-031-300 |
| Register Number: | 000031300 |
| Historical Names: |
Mid-South Urgent Care, P.C.
Mid-South Urgent Care, Inc. |
| County: | Etowah |
| Place of Formation: | Etowah County |
| Registered Office Street Address: | 420 20TH ST N STE 1400BIRMINGHAM, AL 35203 |
| Registered Office Street Address ZIP Code: | 35203 |
| Principal Address: | 115 WEST GRANDE AVENUE, SUITE 90RAINBOW CITY, AL 35906 |
| Principal Address ZIP Code: | 35906 |
Activities
ENGAGE IN THE PRACTICE OF MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871868380 | 2012-03-16 | 2015-08-17 | PO BOX 101070, ATLANTA, GA, 303921070, US | 115 W GRAND AVE, SUITE 90, RAINBOW CITY, AL, 359063275, US | |||||||||||||||||||||
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| Phone | +1 404-465-1000 |
| Phone | +1 256-459-4987 |
| Fax | 2564594980 |
Authorized person
| Name | NORMAN WINLAND |
| Role | COO |
| Phone | 4044651000 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| Is Primary | No |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MID-SOUTH URGENT CARE, P.C. 401(K) PROFIT SHARING PLAN | 2014 | 453796914 | 2015-10-06 | MID-SOUTH URGENT CARE, P.C. | 21 | |||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2015-10-06 |
| Name of individual signing | ROBERT FRYE |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2013-02-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2565047343 |
| Plan sponsor’s address | 115 WEST GRAND AVENUE, SUITE 90, RAINBOW CITY, AL, 35906 |
Signature of
| Role | Plan administrator |
| Date | 2015-07-23 |
| Name of individual signing | ROBERT FRYE |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2013-02-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2565047343 |
| Plan sponsor’s address | 115 WEST GRAND AVENUE, SUITE 90, RAINBOW CITY, AL, 35906 |
Signature of
| Role | Plan administrator |
| Date | 2014-05-05 |
| Name of individual signing | JASON JUNKINS |
| Name | Role | Address |
|---|---|---|
| WINGER, ADAM S | Agent | 420 NORTH 20TH STREET SUITE 1400BIRMINGHAM, AL 35203 |
| Name | Role | Address |
|---|---|---|
| WINGER, ADAM S | Organizer | 420 NORTH 20TH STREET SUITE 1400BIRMINGHAM, AL 35203 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2014-10-02 | Name Change | Mid-South Urgent Care, Inc. | ACSH Urgent Care of Alabama, LLC |
| 2014-08-22 | Name Change | Mid-South Urgent Care, P.C. | Mid-South Urgent Care, Inc. |
| 2012-11-01 | Capital Change | 100 @ $10.00 PV Authorized $1000.00 Paid In | undefined Authorized undefined Paid In |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
