| Name: | Valley Medical & Urgent Care, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 12 Jan 2021 (4 years ago) (Companies founded in January 2021) |
| Entity Number: | 000-829-401 |
| Register Number: | 000829401 |
| ZIP code: | 35661 (Companies in Colbert, 35661) |
| County: | Colbert |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 2103 Marietta AvenueMuscle Shoals, AL 35661 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1831782689 | 2021-02-12 | 2021-05-11 | 1110 E 6TH ST STE D, MUSCLE SHOALS, AL, 356613957, US | 1110 E 6TH ST STE D, MUSCLE SHOALS, AL, 356613957, US | |||||||||||||||||||||||||
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| Phone | +1 256-397-8842 |
| Fax | 2563823364 |
Authorized person
| Name | RUSSELL BIEN |
| Role | MEMBER |
| Phone | 2563978842 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | No |
| Taxonomy Code | 363LA2100X - Acute Care Nurse Practitioner |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 264331 |
| State | AL |
| Name | Role |
|---|---|
| Bien, Russell R | Agent |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
