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Tallassee Urgent Care, LLC

Details

Name: Tallassee Urgent Care, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 20 Jan 2016 (9 years ago) (Companies founded in January 2016)
Entity Number: 000-357-320
Register Number: 000357320
ZIP code: 36853 (Companies in Tallapoosa, 36853)
County: Tallapoosa
Place of Formation: Tallapoosa County
Registered Office Street Address: 201 MARIARDEN RDDADEVILLE, AL 36853

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1508312737 2016-08-28 2020-02-21 2256 GILMER AVE, TALLASSEE, AL, 360787126, US 2256 GILMER AVE, TALLASSEE, AL, 360787126, US

Contacts

Phone +1 334-283-2542
Phone +1 334-514-3848

Authorized person

Name MICHAEL BRUCE
Role CEO
Phone 2566750412

Taxonomy

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

Agent

Name Role Address
BRUCE, MICHAEL Agent 42 MALCOLM AVENUE SWRAINSVILLE, AL 35986

Organizer

Name Role Address
ENGLAND, ROBERT L IV Organizer 3 MONTCREST DRIVEBIRMINGHAM, AL 35213

Member

Name Role Address
Ivy Creek Healthcare, LLC Member 201 Mariarden RoadDadeville, AL 36853

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State