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Glory Springs Urgent Care & Healthcare Foundation

Details

Name: Glory Springs Urgent Care & Healthcare Foundation
Jurisdiction: Alabama
Legal type: Domestic Non-Profit Corporation
Status: Exists
Date of registration: 06 Nov 2020 (4 years ago) (Companies founded in November 2020)
Entity Number: 000-821-511
Register Number: 000821511
Historical Names: Glory Springs Urgent Care
ZIP code: 35150 (Companies in Talladega, 35150)
County: Talladega
Place of Formation: Madison County
Registered Office Street Address: 600 BLVD SOUTH SW STE 104JHUNTSVILLE, AL 35802
Principal Address: 1023 W Fort Williams StreetSylacauga, AL 35150

Activities ANY LAWFUL BUSINESS FOR WHICH NONPROFIT CORPORATIONS MAY BE INCO

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
VLM3WL3MSY61 2025-03-15 1023 FORT WILLIAMS ST, SYLACAUGUA, AL, 35150, 2301, USA 1023 W FORT WILLIAMS STREET, SYLACAUGA, AL, 35150, 2301, USA

Business Information

Division Name GLORY SPRINGS URGENT CARE
Congressional District 03
State/Country of Incorporation AL, USA
Activation Date 2024-03-19
Initial Registration Date 2021-02-16
Entity Start Date 2020-11-30
Fiscal Year End Close Date Jun 01

Service Classifications

NAICS Codes 621493, 621498
Product and Service Codes Q999

Points of Contacts

Electronic Business
Title PRIMARY POC
Name DENICE FOSTER
Role CEO
Address 1023 W FORT WILLIAMS STREET, SYLACAUGA, AL, 35150, USA
Government Business
Title PRIMARY POC
Name DENICE FOSTER
Role CEO
Address 1023 W FORT WILLIAMS STREET, SYLACAUGA, AL, 35150, USA
Past Performance Information not Available

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1134893134 2021-08-03 2024-01-17 1023 W FORT WILLIAMS ST, SYLACAUGA, AL, 351502301, US 1023 W FORT WILLIAMS ST, SYLACAUGA, AL, 351502301, US

Contacts

Phone +1 309-267-6308
Fax 2563691735
Phone +1 256-369-1735

Authorized person

Name DENICE FOSTER
Role OWNER
Phone 3092676308

Taxonomy

Taxonomy Code 261QF0400X - Federally Qualified Health Center (FQHC)
Is Primary No
Taxonomy Code 261QH0100X - Health Service Clinic/Center
Is Primary No
Taxonomy Code 261QR1300X - Rural Health Clinic/Center
Is Primary No
Taxonomy Code 261QU0200X - Urgent Care Clinic/Center
Is Primary Yes
Taxonomy Code 364SH1100X - Holistic Clinical Nurse Specialist
Is Primary No

Agent

Name Role Address
USCA INC Agent 101 N BRAND BLVD 11TH FLGLENDALE, CA 91203

Director

Name Role Address
STONE, DENICE Director 1023 Fort Williams StreetSylacauga, AL 35150
Darrell Foster Director 1000 7th PlaceSylacauga, AL 35150
Denice Stone Director 1029B W Fort Williams StreetSylacauga, AL 35150

Incorporator

Name Role Address
LEGALZOOM.COM INC Incorporator 101 N BRAND BLVD 10TH FLOORGLENDALE, CA 91203

Events

Event Date Event Type Old Value New Value
2022-12-12 Name Change Glory Springs Urgent Care Glory Springs Urgent Care & Healthcare Foundation

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State