| Name: | Allegra Healthcare, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Limited Liability Company |
| Status: | Exists |
| Date of registration: | 22 Apr 2020 (5 years ago) |
| Entity Number: | 000-630-303 |
| Register Number: | 000630303 |
| County: | Tuscaloosa |
| Place of Formation: | Tuscaloosa County |
| Registered Office Street Address: | 1116 MITT LARY ROADNORTHPORT, AL 35475 |
| Registered Office Street Address ZIP Code: | 35475 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1104550961 | 2022-07-15 | 2022-09-27 | 4804 HIGHWAY 69 N, NORTHPORT, AL, 354732035, US | 4804 HIGHWAY 69 N, NORTHPORT, AL, 354732035, US | |||||||||||||||
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| Phone | +1 205-556-5634 |
| Fax | 2055565634 |
Authorized person
| Name | AMY MCMURRY SHIRLEY |
| Role | VICE PRESIDENT |
| Phone | 2054543191 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SHIRLEY, CHARLES J | Agent | 7895 HIGHWAY 119, SUITE 1ALABASTER, AL 35007 |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
