| Name: | RMCCA Clinic B LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 27 Aug 2019 (5 years ago) (Companies founded in August 2019) |
| Entity Number: | 000-585-716 |
| Register Number: | 000585716 |
| ZIP code: | 36037 (Companies in Butler, 36037) |
| County: | Butler |
| Place of Formation: | Butler County |
| Registered Office Street Address: | 415 EAST COMMERCE STREET SUITE 101GREENVILLE, AL 36037 |
| Registered Office Mailing Address: | P.O. BOX 583GREENVILLE, AL 36037 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1275184848 | 2019-09-25 | 2024-07-03 | P.O. BOX 1066, GREENVILLE, AL, 360371066, US | 29 LV STABLER DR, GREENVILLE, AL, 36037, US | |||||||||||||||||||||||||||||
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| Phone | +1 334-382-0085 |
| Fax | 3343832596 |
Authorized person
| Name | AMANDA SALTER |
| Role | PHYSICIAN PRACTICE DIRECTOR |
| Phone | 3343822681 |
Taxonomy
| Taxonomy Code | 207P00000X - Emergency Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 208M00000X - Hospitalist Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 322943 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| HARTLEY, P R | Agent | 803 FORT DALE ROADGREENVILLE, AL 36037 |
| Name | Role | Address |
|---|---|---|
| MCLENDON, DEXTER | Organizer | 385 CLOVERDALE RD.GREENVILLE, AL 36037 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
