| Name: | Premier Urgent Care & Family Medicine Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 07 Nov 2019 (5 years ago) (Companies founded in November 2019) |
| Entity Number: | 000-592-432 |
| Register Number: | 000592432 |
| Historical Names: |
Premier Urgent Care Inc.
Premier Urgent Care Family Medicine Inc. |
| ZIP code: | 35749 (Companies in Madison, 35749) |
| County: | Madison |
| Place of Formation: | Madison County |
| Principal Address: | 5856 HIGHWAY 53 STE AHARVEST, AL 35749 |
| Registered Office Street Address: | 600 BLVD S SW STE 104JHUNTSVILLE, AL 35802 |
| Authorized Capital: | 1000.00 @ .OO1 |
Activities
HEALTH CARE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821671041 | 2021-05-05 | 2022-12-08 | 5856 HIGHWAY 53 STE 200A, HARVEST, AL, 357494305, US | 2246 WINCHESTER RD NE, HUNTSVILLE, AL, 358116800, US | |||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 256-858-1398 |
| Phone | +1 256-929-4224 |
| Fax | 8884984821 |
Authorized person
| Name | TESSE T GREEN |
| Role | OPERATIONS AND BILLING COORDINATOR |
| Phone | 2568499197 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | No |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1356859391 |
| State | AL |
| Issuer | NPI |
| Number | 1427549823 |
| State | AL |
| Issuer | NPI |
| Number | 1437700606 |
| State | AL |
| Issuer | NPI |
| Number | 1659890945 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| USCA INC | Agent | 101 N BRAND BLVD 11TH FLGLENDALE, CA 91203 |
| Name | Role | Address |
|---|---|---|
| STANMORE, ROGER DALE | Director | 5856 HIGHWAY 53 STE AHARVEST, AL 35749 |
| Name | Role | Address |
|---|---|---|
| LEGALZOOM.COM INC | Incorporator | 101 N BRAND BLVD 10TH FLOORGLENDALE, CA 91203 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2020-12-09 | Name Change | Premier Urgent Care Family Medicine Inc. | Premier Urgent Care & Family Medicine Inc. |
| 2020-07-13 | Name Change | Premier Urgent Care Inc. | Premier Urgent Care Family Medicine Inc. |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
