Name: | CRIMSON CARE, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Exists |
Date of registration: | 26 Sep 2017 (7 years ago) |
Entity Number: | 000-404-036 |
Register Number: | 000404036 |
County: | Tuscaloosa |
Place of Formation: | Tuscaloosa County |
Registered Office Street Address: | 1718 VETERANS MEMORIAL PARKWAYTUSCALOOSA, AL 35404 |
Registered Office Street Address ZIP Code: | 35404 |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1437668639 | 2017-09-20 | 2021-11-16 | 1251 MCFARLAND BLVD NE, TUSCALOOSA, AL, 354062205, US | 1771 SKYLAND BLVD E, TUSCALOOSA, AL, 35405, US | |||||||||||||||||||||||||||||
|
Phone | +1 205-523-7483 |
Fax | 2057649371 |
Phone | +1 205-507-1119 |
Fax | 2055071113 |
Authorized person
Name | DR. RAMESH PERAMSETTY |
Role | MEDICAL DIRECTOR |
Phone | 2055237483 |
Taxonomy
Taxonomy Code | 207Q00000X - Family Medicine Physician |
Is Primary | Yes |
Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
Is Primary | No |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 206177 |
State | AL |
Name | Role | Address |
---|---|---|
PERAMSETTY, RAMESH | Agent | 2905 LAKE COVE CIRCLETUSCALOOSA, AL 35404 |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State