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Prime Care Medical Center, LLC

Details

Name: Prime Care Medical Center, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 09 Jul 2013 (11 years ago)
Entity Number: 000-282-415
Register Number: 000282415
County: Lee
Place of Formation: Lee County
Principal Address: 2220 MT VERNON LANEAUBURN, AL 36830
Principal Address ZIP Code: 36830

Activities REAL PROPERTY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1821436155 2013-06-09 2013-06-09 2220 MT VERNON LN, AUBURN, AL, 368304257, US 203 W LEE ST, TUSKEGEE, AL, 360831719, US

Contacts

Phone +1 334-821-6287
Phone +1 334-663-3587
Fax 3348216287

Authorized person

Name FAZLE MATIN
Role DIRECTOR
Phone 3346633587

Taxonomy

Taxonomy Code 261QP2300X - Primary Care Clinic/Center
Is Primary Yes

Agent

Name Role Address
MATIN, FAZLE Agent 2220 MT VERNON LANEAUBURN, AL 36830

Organizer

Name Role Address
DONALDSON, RAY Organizer 1810 E GLENN AVE, STE 110AUBURN, AL 36830-5105

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State