| Name: | MedCenter Primary Care, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 25 Jan 2017 (8 years ago) (Companies founded in January 2017) |
| Entity Number: | 000-381-723 |
| Register Number: | 000381723 |
| Historical Names: |
MedCenter Primary Care, PC
|
| ZIP code: | 35476 (Companies in Tuscaloosa, 35476) |
| County: | Tuscaloosa |
| Place of Formation: | Tuscaloosa County |
| Principal Address: | 3909 MCFARLAND BOULEVARDNORTHPORT, AL 35476 |
| Registered Office Street Address: | 4960 RICE MINE ROAD NE SUITE 10TUSCALOOSA, AL 35406 |
Activities
PRACTICE OF MEDICINE & PROVIDING MEDICAL SERVICES TO THE PUBLIC
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1922546357 | 2017-02-06 | 2024-06-14 | 4960 RICE MINE ROAD NE, STE 10, NORTHPORT, AL, 354762838, US | 4960 RICE MINE ROAD NE, STE 10, NORTHPORT, AL, 354762838, US | |||||||||||||||||||||||||
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| Phone | +1 205-333-9467 |
| Fax | 0575816562 |
| Fax | 2057581656 |
Authorized person
| Name | HOLLY POSEY JAMES |
| Role | EXECUTIVE DIRECTOR |
| Phone | 2053301707 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| License Number | 9381 |
| State | AL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| POSEY, ROBERT A | Agent | 1 RIDGELANDTUSCALOOSA, AL 35406 |
| Name | Role | Address |
|---|---|---|
| MIXON, GREG | Organizer | 44 INVERNESS CENTER PARKWAY, SUITE 140BIRMINGHAM, AL 35242 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2024-03-18 | Name Change | MedCenter Primary Care, PC | MedCenter Primary Care, LLC |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
