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Hanceville Acute Care & Wellness Center, LLC

Details

Name: Hanceville Acute Care & Wellness Center, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 09 Aug 2016 (8 years ago) (Companies founded in August 2016)
Date of dissolution: 24 Jan 2024
Entity Number: 000-369-099
Register Number: 000369099
ZIP code: 35057 (Companies in Cullman, 35057)
County: Cullman
Place of Formation: Cullman County
Registered Office Street Address: 371 COUNTY ROAD 1157CULLMAN, AL 35057

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1659826253 2016-08-24 2016-08-24 307 MAIN ST SW, SUITE A, HANCEVILLE, AL, 350775476, US 307 MAIN ST SW, SUITE A, HANCEVILLE, AL, 350775476, US

Contacts

Phone +1 256-352-8884
Fax 2563528887

Authorized person

Name KAREN BROCK CAMP
Role OFFICE MANAGER
Phone 2563528884

Taxonomy

Taxonomy Code 261QU0200X - Urgent Care Clinic/Center
Is Primary Yes
Taxonomy Code 261QU0200X - Urgent Care Clinic/Center
License Number MD.32514
State AL
Is Primary No

Agent

Name Role Address
WILLINGHAM, DAN J Agent 371 COUNTY ROAD 1157CULLMAN, AL 35057

Organizer

Name Role Address
WILLINGHAM, DAN J Organizer 371 COUNTY ROAD 1157CULLMAN, AL 35057

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State