| Name: | Central Pediatrics of Somerville, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 10 Jul 2018 (6 years ago) (Companies founded in July 2018) |
| Date of dissolution: | 15 Apr 2021 |
| Entity Number: | 000-524-158 |
| Register Number: | 000524158 |
| ZIP code: | 35611 (Companies in Limestone, 35611) |
| County: | Limestone |
| Place of Formation: | Limestone County |
| Registered Office Street Address: | 101 FITNESS WAY SUITE 1100ATHENS, AL 35611 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336634666 | 2018-06-28 | 2018-07-11 | 101 FITNESS WAY STE 1100, ATHENS, AL, 356112481, US | 3609 HIGHWAY 67 S, SOMERVILLE, AL, 35670, US | |||||||||||||||||
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| Phone | +1 256-233-0712 |
Authorized person
| Name | CHRISTY THOMAS RUTHERFORD |
| Role | CFO OFFICE MGR |
| Phone | 2562330712 |
Taxonomy
| Taxonomy Code | 261QR1300X - Rural Health Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 305R00000X - Preferred Provider Organization |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| CROWELL, WESLEY | Agent | 707 US HIGHWAY 31 STE DATHENS, AL 35611 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
