| Name: | Premier Family Care Arab, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 02 Jun 2015 (9 years ago) |
| Entity Number: | 000-337-594 |
| Register Number: | 000337594 |
| County: | Marshall |
| Place of Formation: | Marshall County |
| Registered Office Street Address: | 2017 OBRIG AVENUEGUNTERSVILLE, AL 35976 |
| Registered Office Street Address ZIP Code: | 35976 |
Activities
OWN
OPERATE AND MAINTAIN A MEDICAL PRACTICE
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| U5D3XLBCPM18 | 2022-07-16 | 20 S MAIN ST, ARAB, AL, 35016, 1394, USA | 20 SOUTH MAIN ST, ARAB, AL, 35016, USA | |||||||||||||||||||||||||||||||||||||||||||
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| Division Name | PREMIER FAMILY CARE ARAB |
| Division Number | PREMIER FA |
| Congressional District | 04 |
| State/Country of Incorporation | AL, USA |
| Activation Date | 2021-06-22 |
| Initial Registration Date | 2021-06-16 |
| Entity Start Date | 2015-11-02 |
| Fiscal Year End Close Date | Dec 31 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | BEVERLY HARPER |
| Role | MANAGER |
| Address | 20 SOUTH MAIN ST, ARAB, AL, 35016, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | BEVERLY HARPER |
| Role | OWNER |
| Address | 20 SOUTH MAIN ST, ARAB, AL, 35016, USA |
| Past Performance | Information not Available |
|---|
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245614049 | 2015-07-13 | 2024-01-30 | 20 S MAIN ST, ARAB, AL, 350161378, US | 20 S MAIN ST, ARAB, AL, 350161378, US | |||||||||||||
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| Phone | +1 256-586-2324 |
Authorized person
| Name | DR. JESS H YOUNGBLOOD |
| Role | OWNER |
| Phone | 2565862324 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| YOUNGBLOOD, JESS H | Organizer | 6463 SPRING CREEK DRIVEGUNTERSVILLE, AL 35976 |
| Name | Role | Address |
|---|---|---|
| YOUNGBLOOD, JESS H | Agent | 6463 SPRING CREEK DRIVEGUNTERSVILLE, AL 35976 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
