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Community Urgent Care of Hartselle, Inc.

Details

Name: Community Urgent Care of Hartselle, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 23 Sep 2013 (11 years ago) (Companies founded in September 2013)
Entity Number: 000-287-926
Register Number: 000287926
ZIP code: 35068 (Companies in Jefferson, 35068)
County: Jefferson
Place of Formation: Cullman County
Registered Office Street Address: 3477 LOWERY PARKWAY, SUITE 137FULTONDALE, AL 35068
Authorized Capital: 5000 @ $1.00 PV

Activities PROFESSIONAL MEDICAL SERVICES THROUGH URGENT CARE CENTERS

National Provider Identifier

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

Contacts
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

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COMMUNITY URGENT CARE OF HARTSELLE, INC. 2023 463722434 2024-10-17 COMMUNITY URGENT CARE OF HARTSELLE, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 2562306130
Plan sponsor’s address 30694 HIGHWAY 72, SUITE E, MADISON, AL, 357563231

Signature of
Role Plan administrator
Date 2024-10-17
Name of individual signing NEIL YEAGER
Valid signature Filed with authorized/valid electronic signature
COMMUNITY URGENT CARE OF HARTSELLE, INC. 2023 463722434 2024-10-17 COMMUNITY URGENT CARE OF HARTSELLE, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 2562306130
Plan sponsor’s address 30694 HIGHWAY 72, SUITE E, MADISON, AL, 357563231

Signature of
Role Plan administrator
Date 2024-10-17
Name of individual signing NEIL YEAGER
Valid signature Filed with authorized/valid electronic signature
COMMUNITY URGENT CARE OF HARTSELLE, INC. 2022 463722434 2024-10-17 COMMUNITY URGENT CARE OF HARTSELLE, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 2562306130
Plan sponsor’s address 30694 HIGHWAY 72, SUITE E, MADISON, AL, 357563231

Signature of
Role Plan administrator
Date 2024-10-17
Name of individual signing NEIL YEAGER
Valid signature Filed with authorized/valid electronic signature
COMMUNITY URGENT CARE OF HARTSELLE, INC. 2021 463722434 2024-10-17 COMMUNITY URGENT CARE OF HARTSELLE, INC. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 2562306130
Plan sponsor’s address 30694 HIGHWAY 72, SUITE E, MADISON, AL, 357563231

Signature of
Role Plan administrator
Date 2024-10-17
Name of individual signing NEIL YEAGER
Valid signature Filed with authorized/valid electronic signature
COMMUNITY URGENT CARE OF HARTSELLE, INC. 401(K) PLAN 2019 463722434 2020-10-08 COMMUNITY URGENT CARE OF HARTSELLE INC. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2019-01-01
Business code 621111
Sponsor’s telephone number 2567730110
Plan sponsor’s address 1635 HIGHWAY 31 NW, HARTSELLE, AL, 356404426

Agent

Name Role Address
YEAGER, NEIL C Agent 101 1ST AVENUE NE SUITE 150CULLMAN, AL 35055

Incorporator

Name Role Address
YEAGER, NEIL C Incorporator 101 1ST AVENUE NE SUITE 150CULLMAN, AL 35055

Director

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

Related by officers

YEAGER, NEIL C

THE CADUCEUS GROUP, LLC Community Urgent Care, L.L.C. Community Urgent Care of Madison, Inc. Community Urgent Care of Madison, Inc. Lakeside North, LLC

YEAGER, NEIL CAMERON

THE CADUCEUS GROUP, LLC Community Urgent Care of Madison, Inc. Community Urgent Care Lakeside North, Inc. Community Urgent Care of Madison, Inc. Community Urgent Care Coosa Valley, Inc. Crossroads Medical Group, LLC

CAMPBELL, DAVID CLAY

Community Urgent Care of Madison, Inc. Community Urgent Care Lakeside North, Inc. Community Urgent Care of Madison, Inc. CJC Properties, LLC Community Urgent Care Coosa Valley, Inc.

DODD, RICHARD PAYNE

THE CADUCEUS GROUP, LLC Community Urgent Care of Madison, Inc. Community Urgent Care Lakeside North, Inc. Community Urgent Care of Madison, Inc. Community Urgent Care Coosa Valley, Inc. Crossroads Medical Group, LLC

HORNSBY, JEB STUART

THE CADUCEUS GROUP, LLC Community Urgent Care of Madison, Inc. Community Urgent Care Lakeside North, Inc. Community Urgent Care of Madison, Inc. Community Urgent Care Coosa Valley, Inc.

NYQUIST, STEPHEN CRAIG

Community Urgent Care of Madison, Inc. Community Urgent Care Lakeside North, Inc. Community Urgent Care of Madison, Inc. Community Urgent Care Coosa Valley, Inc.

WEATHERLY, JESSE OREL III

Community Urgent Care of Madison, Inc. Community Urgent Care of Madison, Inc. Community Urgent Care Coosa Valley, Inc.

Related by address

3477 LOWERY PARKWAY, SUITE 137FULTONDALE, AL 35068

THE CADUCEUS GROUP, LLC Community Urgent Care, L.L.C. Community Urgent Care of Madison, Inc.

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State

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