Search icon

Apollo Urgent Care, LLC

Details

Name: Apollo Urgent Care, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 06 Jun 2006 (18 years ago) (Companies founded in June 2006)
Entity Number: 000-480-059
Register Number: 000480059
ZIP code: 35805 (Companies in Madison, 35805)
County: Madison
Place of Formation: Madison County
Principal Address: HUNTSVILLE, AL
Registered Office Street Address: 2400 BOB WALLACE AVE STE 101HUNTSVILLE, AL 35805

Activities URGENT CARE MEDICAL CLINIC

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1801802129 2006-07-31 2020-08-22 PO BOX 2916, HUNTSVILLE, AL, 358042916, US 2745 BOB WALLACE AVE SW, SUITE F, HUNTSVILLE, AL, 358054158, US

Contacts

Phone +1 256-534-1323
Fax 2565341780

Authorized person

Name MARY MARGARET CRESTANI
Role M.D./OWNER
Phone 2565341323

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Other Provider Identifiers

Issuer 0000
Number APPLIED FOR
State AL
Issuer MEDICAID
Number APPLIED FOR
State AL

Agent

Name Role
LAMBERT, MICHAEL C Agent

Member

Name Role
CRESTANI, MARY MARGARET Member
CRESTANI, ANTHONY BENNETT Member

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State