| Name: | MedCare Clinic LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 05 Mar 2010 (15 years ago) |
| Date of dissolution: | 09 Mar 2012 |
| Entity Number: | 000-444-122 |
| Register Number: | 000444122 |
| County: | Tallapoosa |
| Place of Formation: | Tallapoosa County |
| Principal Address: | ALEXANDER CITY, AL |
| Registered Office Street Address: | 5519 HWY 22 EASTALEXANDER CITY, AL 35010 |
| Registered Office Street Address ZIP Code: | 35010 |
Activities
NURSE PRACTITIONER CLINIC/HEALTH CARE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912220476 | 2010-03-11 | 2010-06-22 | 5519 HIGHWAY 22 E, ALEXANDER CITY, AL, 350107035, US | 2060 CHEROKEE RD, ALEXANDER CITY, AL, 350103439, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 256-267-0870 |
Authorized person
| Name | MRS. SUZZAN G. NELSON |
| Role | OWNER |
| Phone | 2562670870 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | 1-084184 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 363LA2100X - Acute Care Nurse Practitioner |
| License Number | 1-084184 |
| State | AL |
| Is Primary | Yes |
| Name | Role |
|---|---|
| NELSON, SUZZAN G | Agent |
| Name | Role |
|---|---|
| NELSON, SUZZAN G | Member |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
