| Name: | IMC-North Baldwin Primary Plus, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 02 Feb 2012 (13 years ago) (Companies founded in February 2012) |
| Entity Number: | 000-039-464 |
| Register Number: | 000039464 |
| Historical Names: |
Infirmary Health Urgent Care-Bay Minette, P.C
Infirmary Health Urgent Care-Bay Minette, LLC |
| ZIP code: | 36604 (Companies in Mobile, 36604) |
| County: | Mobile |
| Place of Formation: | Mobile County |
| Registered Office Street Address: | 5 MOBILE INFIRMARY CIRCLEMOBILE, AL 36607 |
| Principal Address: | 1700 SPRINGHILL AVENUEMOBILE, AL 36604 |
| Principal Mailing Address: | PO BOX 2226MOBILE, AL 36652 |
Activities
TO RENDER PROFESSIONAL MEDICAL SVCS & SERVICES ANCILLARY THERETO
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1013283530 | 2012-03-29 | 2024-05-01 | 2115 HAND AVE, BAY MINETTE, AL, 365074149, US | 2115 HAND AVE STE B, BAY MINETTE, AL, 365074149, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 251-937-7100 |
Authorized person
| Name | MR. ANTHONY PALAZZO |
| Role | VICE PRESIDENT OF FINANCE |
| Phone | 2514351331 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 137896 |
| State | AL |
| Name | Role |
|---|---|
| NIX, D M | Agent |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2021-10-29 | Name Change | Infirmary Health Urgent Care-Bay Minette, LLC | IMC-North Baldwin Primary Plus, LLC |
| 2017-03-24 | Name Change | Infirmary Health Urgent Care-Bay Minette, P.C | Infirmary Health Urgent Care-Bay Minette, LLC |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
