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Southern Immediate Care, LLC

Details

Name: Southern Immediate Care, LLC
Jurisdiction: Alabama
Legal type: Foreign Limited Liability Company
Status: Exists
Date of registration: 23 Jun 2016 (8 years ago)
Entity Number: 000-365-789
Register Number: 000365789
Historical Names: Southern Immediate Care, Inc.
County: Calhoun
Place of Formation: Delaware
Registered Office Street Address: 2 N JACKSON STREET SUITE 605MONTGOMERY, AL 36104
Registered Office Street Address ZIP Code: 36104
Principal Address: 4100 MCCLELLAN BLVDANNISTON, AL 36201
Principal Address ZIP Code: 36201

Activities TO OWN URGENT CARE FACILITIES
& TO DO ALL THINGS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1467909978 2016-09-01 2023-12-18 PO BOX 8164, GADSDEN, AL, 359028164, US 4100 MCCLELLAN BLVD, ANNISTON, AL, 362012132, US

Contacts

Phone +1 256-235-2273
Fax 2562352277

Authorized person

Name JASON JUNKINS
Role OWNER
Phone 2568480481

Taxonomy

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

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SOUTHERN IMMEDIATE CARE, INC. 401(K) PLAN 2023 813116506 2024-09-24 SOUTHERN IMMEDIATE CARE, INC. 77
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2023-01-01
Business code 621111
Sponsor’s telephone number 2564092794
Plan sponsor’s address 4100 MCCLELLAN BLVD, ANNISTON, AL, 36201

Signature of

Role Plan administrator
Date 2024-09-24
Name of individual signing STACY KEITH
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
CAPITOL CORPORATE SERVICES INC Agent

Events

Event Date Event Type Old Value New Value
2023-11-15 Name Change Southern Immediate Care, Inc. Southern Immediate Care, LLC

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State