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Riverchase Urgent Care, LLC

Details

Name: Riverchase Urgent Care, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 04 Sep 2013 (11 years ago)
Date of dissolution: 17 May 2019
Entity Number: 000-286-833
Register Number: 000286833
County: Shelby
Place of Formation: Shelby County
Registered Office Street Address: 151 NARROWS PARKWAY SUITE 110BIRMINGHAM, AL 35242
Registered Office Street Address ZIP Code: 35242

Activities MANAGEMENT OF MEDICAL OFFICES & ANY OTHER LAWFUL BUSINESS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1730501842 2014-01-08 2014-04-02 1924 HIGHWAY 31 S, HOOVER, AL, 352441141, US 1926 HIGHWAY 31 S, HOOVER, AL, 352441141, US

Contacts

Phone +1 205-988-3715
Fax 2059883716
Phone +1 205-999-8583
Fax 2053143307

Authorized person

Name DR. EDWARD PAYSON DAUGHERTY
Role OWNER
Phone 2059998583

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
License Number DO408
State AL
Is Primary Yes

Agent

Name Role
DAUGHERTY, E P Agent

Organizer

Name Role Address
DAUGHERTY, E PAYSON Organizer 151 NARROWS PARKWAY SUITE 110BIRMINGHAM, AL 35242
WALKER, GEORGE PHILIPS IV Organizer 3612 COVENTRY CIRCLEBIRMINGHAM, AL 35243
MCINTIRE, BARNEY Organizer 2305 TANGLEWOOD BROOK LANEBIRMINGHAM, AL 35243

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State