| Name: | Community Urgent Care of Hartselle, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 23 Sep 2013 (11 years ago) |
| Entity Number: | 000-287-926 |
| Register Number: | 000287926 |
| County: | Jefferson |
| Place of Formation: | Cullman County |
| Registered Office Street Address: | 3477 LOWERY PARKWAY, SUITE 137FULTONDALE, AL 35068 |
| Registered Office Street Address ZIP Code: | 35068 |
| Authorized Capital: | 5000 @ $1.00 PV |
Activities
PROFESSIONAL MEDICAL SERVICES THROUGH URGENT CARE CENTERS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154750073 | 2013-11-01 | 2014-08-06 | 101 1ST AVE NE, SUITE 150, CULLMAN, AL, 350552967, US | 1635 HIGHWAY 31 NW, HARTSELLE, AL, 356404426, US | |||||||||||||||||
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| Phone | +1 256-734-2977 |
| Fax | 8882988524 |
| Phone | +1 256-773-0110 |
Authorized person
| Name | MR. JESSE OREL WEATHERLY III |
| Role | SECRETARY/TREASURER |
| Phone | 2567342977 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| COMMUNITY URGENT CARE OF HARTSELLE, INC. 401(K) PLAN | 2019 | 463722434 | 2020-10-08 | COMMUNITY URGENT CARE OF HARTSELLE INC. | 12 | |||||||||||||
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| Name | Role | Address |
|---|---|---|
| YEAGER, NEIL C | Agent | 101 1ST AVENUE NE SUITE 150CULLMAN, AL 35055 |
| Name | Role | Address |
|---|---|---|
| YEAGER, NEIL C | Incorporator | 101 1ST AVENUE NE SUITE 150CULLMAN, AL 35055 |
| Name | Role | Address |
|---|---|---|
| YEAGER, NEIL CAMERON | Director | 101 1ST AVENUE NE SUITE 150CULLMAN, AL 35055 |
| CAMPBELL, DAVID CLAY | Director | 101 1ST AVENUE NE SUITE 150CULLMAN, AL 35055 |
| DODD, RICHARD PAYNE | Director | 101 1ST AVENUE NE SUITE 150CULLMAN, AL 35055 |
| HORNSBY, JEB STUART | Director | 101 1ST AVENUE NE SUITE 150CULLMAN, AL 35055 |
| NYQUIST, STEPHEN CRAIG | Director | 101 1ST AVENUE NE SUITE 150CULLMAN, AL 35055 |
| WEATHERLY, JESSE OREL III | Director | 101 1ST AVENUE NE SUITE 150CULLMAN, AL 35055 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
