| Name: | FALKVILLE MEDICAL CLINIC, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 15 Mar 2013 (12 years ago) (Companies founded in March 2013) |
| Entity Number: | 000-275-811 |
| Register Number: | 000275811 |
| ZIP code: | 35805 (Companies in Madison, 35805) |
| County: | Madison |
| Place of Formation: | Madison County |
| Registered Office Street Address: | 2101 WEST CLINTON AVENUE SUITE 102HUNTSVILLE, AL 35805 |
Activities
CARRY ON ANY LAWFUL BUSINESS
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CYY5JQMN1KX9 | 2025-02-04 | 434 E PIKE RD, FALKVILLE, AL, 35622, 5109, USA | 434 E PIKE RD, FALKVILLE, AL, 35622, 5109, USA | |||||||||||||||||||||||||||||||||||
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| Congressional District | 05 |
| State/Country of Incorporation | AL, USA |
| Activation Date | 2024-02-07 |
| Initial Registration Date | 2024-02-05 |
| Entity Start Date | 2013-03-21 |
| Fiscal Year End Close Date | Dec 31 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | MICHELLE GRAHAM |
| Address | 434 E PIKE RD, FALKVILLE, AL, 35622, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | MICHELLE GRAHAM |
| Address | 434 E PIKE RD, FALKVILLE, AL, 35622, USA |
| Past Performance | Information not Available |
|---|
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518301837 | 2013-04-18 | 2023-05-23 | 434 E PIKE RD, FALKVILLE, AL, 356225109, US | 434 E PIKE RD, FALKVILLE, AL, 356225109, US | |||||||||||||||||||
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| Phone | +1 256-784-2200 |
| Fax | 2567842203 |
Authorized person
| Name | MICHELLE SLOAN GRAHAM |
| Role | VP OF OPERATIONS |
| Phone | 2564322822 |
Taxonomy
| Taxonomy Code | 261QR1300X - Rural Health Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 363LF0000X - Family Nurse Practitioner |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| MARSDEN, RICHARD J | Agent | 2101 W CLINTON AVENUE STE 102HUNTSVILLE, AL 35805 |
| Name | Role | Address |
|---|---|---|
| CUNNINGHAM, JAMES R JR | Member | 3311 COUNTY ROAD 47FLORENCE, AL 35630 |
| BREWER, LAYMON L III | Member | 1521 FLEETWOOD DRFRANKLIN, TN 37064 |
| HARBIN, KIM L | Member | 102 HASTINGS ROADATHENS, AL 35613 |
| Name | Role | Address |
|---|---|---|
| HARBIN, KIM LEE | Organizer | 102 HASTINGS ROADATHENS, AL 35613 |
| MARSDEN, RICHARD J | Organizer | 2101 W CLINTON AVENUE STE 102HUNTSVILLE, AL 35805 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
