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 | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||
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VLM3WL3MSY61 | 2025-03-15 | 1023 FORT WILLIAMS ST, SYLACAUGUA, AL, 35150, 2301, USA | 1023 W FORT WILLIAMS STREET, SYLACAUGA, AL, 35150, 2301, USA | |||||||||||||||||||||||||||||||||||||||||||||
|
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 |
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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 | |||||||||||||||||||||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
USCA INC | Agent | 101 N BRAND BLVD 11TH FLGLENDALE, CA 91203 |
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 |
Name | Role | Address |
---|---|---|
LEGALZOOM.COM INC | Incorporator | 101 N BRAND BLVD 10TH FLOORGLENDALE, CA 91203 |
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