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Comprehensive Primary & Urgent Care of Alabama LLC

Details

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

National Provider Identifier

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

Contacts

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

Agent

Name Role
MOORE, THOMAS V Agent

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State