| Name: | Ivy Creek Occupational Medicine, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 27 Nov 2018 (6 years ago) |
| Entity Number: | 000-535-879 |
| Register Number: | 000535879 |
| County: | Elmore |
| Place of Formation: | Elmore County |
| Registered Office Street Address: | 500 HOSPITAL DRIVEWETUMPKA, AL 36092 |
| Registered Office Street Address ZIP Code: | 36092 |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| KENCBZLJ9TP7 | 2025-03-11 | 500 HOSPITAL DR, WETUMPKA, AL, 36092, 1625, USA | 500 HOSPITAL DR, WETUMPKA, AL, 36092, 1625, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| URL | www.ivycreekoccmed.com |
| Congressional District | 02 |
| State/Country of Incorporation | AL, USA |
| Activation Date | 2024-03-13 |
| Initial Registration Date | 2020-04-09 |
| Entity Start Date | 2018-12-01 |
| Fiscal Year End Close Date | Dec 31 |
Service Classifications
| NAICS Codes | 621111, 621399 |
| Product and Service Codes | Q201, Q403, Q701, Q999 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | TANYA BRUCE |
| Role | CEO |
| Address | 500 HOSPITAL DRIVE, WETUMPKA, AL, 36092, USA |
| Title | ALTERNATE POC |
| Name | AMANDA ROBERTS |
| Role | ADMINISTRATION |
| Address | 500 HOSPITAL DRIVE, WETUMPKA, AL, 36092, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | TANYA BRUCE |
| Role | CEO |
| Address | 500 HOSPITAL DRIVE, WETUMPKA, AL, 36092, USA |
| Past Performance | |
|---|---|
| Title | PRIMARY POC |
| Name | AMANDA ROBERTS |
| Role | ADMINISTRATION |
| Address | 500 HOSPITAL DRIVE, WETUMPKA, AL, 36092, USA |
| Name | Role | Address |
|---|---|---|
| BRUCE, TANYA | Agent | 101 HUNTERS MOUNTAIN PARKWAYTROY, AL 36079 |
| Name | Role | Address |
|---|---|---|
| BRUCE, TANYA | Organizer | 101 HUNTERS MOUNTAIN PARKWAYTROY, AL 36079 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
