| Name: | Phenix City Convenient Care LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 13 Feb 2014 (11 years ago) |
| Entity Number: | 000-296-682 |
| Register Number: | 000296682 |
| County: | Russell |
| Place of Formation: | Russell County |
| Principal Mailing Address: | 1904 ST ANDREWS WAYPHENIX CITY, AL 36867 |
| Principal Mailing Address ZIP Code: | 36867 |
| Principal Address: | 600 16TH STREETPHENIX CITY, AL 36867 |
| Principal Address ZIP Code: | 36867 |
Activities
MEDICAL OFFICE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780031039 | 2016-05-17 | 2016-05-17 | 1904 ST ANDREWS WAY, PHENIX CITY, AL, 368677406, US | 600 16TH ST, SUITE A, PHENIX CITY, AL, 368675005, US | |||||||||||||||||||||
|
|||||||||||||||||||||||||
| Phone | +1 229-395-6869 |
| Phone | +1 334-384-1600 |
| Fax | 3343841599 |
Authorized person
| Name | DR. JEANNETTE POPE-OZIMBA |
| Role | OWNER |
| Phone | 2293956869 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | 20168 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| POPE-OZIMBA, JEANNETTE M | Agent | 1904 ST ANDREWS WAYPHENIX CITY, AL 36867 |
| Name | Role | Address |
|---|---|---|
| POPE-OZIMBA, JEANNETTE M | Organizer | 1904 ST ANDREWS WAYPHENIX CITY, AL 36867 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
