| Name: | PHYSICIANS CARE OF GROVE HILL, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 02 Jun 2016 (8 years ago) (Companies founded in June 2016) |
| Entity Number: | 000-363-901 |
| Register Number: | 000363901 |
| ZIP code: | 36726 (Companies in Wilcox, 36726) |
| County: | Wilcox |
| Place of Formation: | Clarke County |
| Registered Office Street Address: | 24B CAMDEN BYPASSCAMDEN, AL 36726 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568915106 | 2016-08-01 | 2019-01-08 | 127 CLARK ST STE C&D, GROVE HILL, AL, 364513050, US | 127 CLARK ST STE C&D, GROVE HILL, AL, 364513050, US | |||||||||||||||||||
|
|||||||||||||||||||||||
| Phone | +1 334-636-5311 |
| Fax | 3346362280 |
Authorized person
| Name | HUEY R KIDD |
| Role | PHYSICIAN |
| Phone | 3346365311 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| Taxonomy Code | 261QR1300X - Rural Health Clinic/Center |
| Is Primary | No |
| Name | Role |
|---|---|
| PHYSICIANS CARE OF CLARKE | Agent |
Date of last update: 04 Aug 2024
Sources: Alabama Secretary of State
