| Name: | Madison Family Care, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 12 Apr 2000 (25 years ago) |
| Entity Number: | 000-209-210 |
| Register Number: | 000209210 |
| County: | Madison |
| Place of Formation: | Madison County |
| Principal Address: | MADISON, AL |
| Registered Office Street Address: | 540 HUGHES ROAD SUITE 3MADISON, AL 35758 |
| Registered Office Street Address ZIP Code: | 35758 |
| Authorized Capital: | $5,000 |
| Paid Share Capital: | $100 |
Activities
MEDICAL PRACTICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1356511695 | 2008-03-03 | 2008-03-03 | 8371 HIGHWAY 72 W, SUITE 208, MADISON, AL, 357589505, US | 8371 HIGHWAY 72 W, SUITE 208, MADISON, AL, 357589505, US | |||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||
| Phone | +1 256-721-5961 |
| Fax | 2567217950 |
Authorized person
| Name | JANICE LEWIS-THOMAS |
| Role | OWNER |
| Phone | 2567215961 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | 78870 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1114977931 |
| State | AL |
| Issuer | NPI |
| Number | 1790979946 |
| State | AL |
| Name | Role |
|---|---|
| LEWIS-THOMAS, JANICE | Agent |
| Name | Role |
|---|---|
| LEWIS-THOMAS, JANICE | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
