| Name: | Medical Care Associates, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 08 Jul 1997 (27 years ago) |
| Entity Number: | 000-188-208 |
| Register Number: | 000188208 |
| County: | Autauga |
| Place of Formation: | Autauga County |
| Principal Address: | PRATTVILLE, AL |
| Registered Office Street Address: | 1300-B EAST MAIN STREETPRATTVILLE, AL 36067 |
| Registered Office Street Address ZIP Code: | 36067 |
| Authorized Capital: | $1,000 |
Activities
RENDER PROFESSIONAL SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134278054 | 2007-01-09 | 2008-05-14 | 645 MCQUEEN SMITH RD N, SUITE302, PRATTVILLE, AL, 360667268, US | 645 MCQUEEN SMITH RD N, SUITE302, PRATTVILLE, AL, 360667268, US | |||||||||||||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 334-361-7404 |
| Fax | 3343617863 |
Authorized person
| Name | DR. MARILYN HEPPERLE |
| Role | PRES |
| Phone | 3343617404 |
Taxonomy
| Taxonomy Code | 174400000X - Specialist |
| License Number | 20750 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 000038657 |
| State | AL |
| Issuer | RAILROAD MEDICARE |
| Number | 110155714 |
| State | AL |
| Issuer | UNITED HEALTH CARE |
| Number | 04-10195 |
| State | AL |
| Issuer | MEDICAID |
| Number | HE000038657 |
| State | AL |
| Issuer | BLUE CROSS BLUE SHEILD |
| Number | 051038657HEP |
| State | AL |
| Name | Role |
|---|---|
| HEPPERLE, MARILYN J E | Agent |
| Name | Role |
|---|---|
| HEPPERLE, MARILYN J E | Incorporator |
| POSMITUCK, GARY | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
