Name: | Comprehensive Primary & Urgent Care of Alabama LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Limited Liability Company |
Status: | Exists |
Date of registration: | 14 Sep 2020 (4 years ago) |
Entity Number: | 000-649-221 |
Register Number: | 000649221 |
County: | Limestone |
Place of Formation: | Limestone County |
Registered Office Street Address: | 17368 CHINABERRY RDATHENS, AL 35613 |
Registered Office Street Address ZIP Code: | 35613 |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1750997706 | 2020-09-16 | 2023-11-08 | 707 W MARKET ST STE C, ATHENS, AL, 356112463, US | 707 W MARKET ST, ATHENS, AL, 356112463, US | |||||||||||||||||||||||
|
Phone | +1 256-444-1815 |
Fax | 2564440385 |
Authorized person
Name | AUDRA E MOORE |
Role | MEMBER |
Phone | 2567770000 |
Taxonomy
Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
Is Primary | Yes |
Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
Is Primary | No |
Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
Is Primary | No |
Name | Role |
---|---|
MOORE, THOMAS V | Agent |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State