| Name: | Baldwin County Primary Care, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 28 Apr 2003 (22 years ago) (Companies founded in April 2003) |
| Entity Number: | 000-689-779 |
| Register Number: | 000689779 |
| ZIP code: | 36535 (Companies in Baldwin, 36535) |
| County: | Baldwin |
| Place of Formation: | Baldwin County |
| Principal Address: | FOLEY, AL |
| Registered Office Street Address: | 1709 BUNNER STFOLEY, AL 36535 |
Activities
ANY LAWFUL ACTIVITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821173485 | 2006-10-25 | 2009-01-26 | 619 E LAUREL AVENUE, FOLEY, AL, 365353301, US | 619 E LAUREL AVE, FOLEY, AL, 365353301, US | |||||||||||||||||||||
|
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| Phone | +1 251-943-5689 |
| Fax | 2519431041 |
Authorized person
| Name | SANDRA R ALEXANDER |
| Role | PRESIDENT |
| Phone | 2519435689 |
Taxonomy
| Taxonomy Code | 208D00000X - General Practice Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 529916470 |
| State | AL |
| Name | Role |
|---|---|
| ALEXANDER, SANDRA R | Agent |
| Name | Role |
|---|---|
| ALEXANDER, SANDRA R | Member |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
