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Urgent Care of Madison, P.C.

Details

Name: Urgent Care of Madison, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Dissolved
Date of registration: 16 Jul 2015 (9 years ago) (Companies founded in July 2015)
Date of dissolution: 28 Aug 2019
Entity Number: 000-340-443
Register Number: 000340443
ZIP code: 35801 (Companies in Madison, 35801)
County: Madison
Place of Formation: Madison County
Registered Office Street Address: 655 GALLATIN STREET SWHUNTSVILLE, AL 35801
Authorized Capital: 1,000 @ $.001PV

Activities PRACTICE OF URGENT CARE MEDICINE/ANCILLARY SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1942676044 2015-08-12 2015-08-12 PO BOX 1684, DECATUR, AL, 356021684, US 3751 SULLIVAN ST, MADISON, AL, 357581707, US

Contacts

Phone +1 256-350-4855
Phone +1 256-772-4211

Authorized person

Name MAMOUN NAJJAR
Role PRESIDENT
Phone 2567724211

Taxonomy

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

Agent

Name Role
SCOTT W. FAULKNER Agent

Director

Name Role Address
NAJJAR, MAMOUN I Director 940 MILL ROADMADISON, AL 35758

Incorporator

Name Role Address
FAULKNER, SCOTT W Incorporator 2101 WEST CLINTON AVE., STE 102HUNTSVILLE, AL 35805

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State