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Chilton Urgent Care, LLC

Details

Name: Chilton Urgent Care, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 14 Feb 2014 (11 years ago) (Companies founded in February 2014)
Entity Number: 000-296-906
Register Number: 000296906
ZIP code: 36106 (Companies in Montgomery, 36106)
County: Montgomery
Place of Formation: Chilton County
Registered Office Street Address: 2740 ZELDA ROADMONTGOMERY, AL 36106

Activities PROVIDE HEALTH CARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1366857674 2014-06-25 2020-02-21 PO BOX 130, WETUMPKA, AL, 360920003, US 1210 7TH ST S, CLANTON, AL, 350453724, US

Contacts

Phone +1 205-280-0620
Fax 2052800625

Authorized person

Name MICHAEL D BRUCE
Role CEO/OWNER
Phone 2566750412

Taxonomy

Taxonomy Code 261QU0200X - Urgent Care Clinic/Center
Is Primary Yes

Agent

Name Role Address
MOORE, BRIAN W Agent 2740 ZELDA ROADMONTGOMERY, AL 36106

Organizer

Name Role Address
MOORE, BRIAN W Organizer 2740 ZELDA ROADMONTGOMERY, AL 36106
BRUCE, MICHAEL Organizer 42 MALCOLM AVENUE SWRAINSVILLE, AL 35986

Member

Name Role Address
IVY CREEK HEALTHCARE LLC Member 16020 SW 80TH AVENUEMIAMI, FL 33157

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State