Search icon

Urgent Care of Fairhope, LLC

Details

Name: Urgent Care of Fairhope, LLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 04 Jun 2021 (3 years ago)
Entity Number: 000-865-743
Register Number: 000865743
County: Baldwin
Place of Formation: Alabama
Registered Office Street Address: 8096 TWIN BEECH RD SUITE 150FAIRHOPE, AL 36532
Registered Office Street Address ZIP Code: 36532

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1336800010 2022-01-05 2022-06-21 8096 TWIN BEECH RD UNIT 150, FAIRHOPE, AL, 365327195, US 8096 TWIN BEECH RD UNIT 150, FAIRHOPE, AL, 365327195, US

Contacts

Phone +1 251-278-6795

Authorized person

Name CAMMY LYN BEALL
Role OWNER
Phone 2513778811

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes
Taxonomy Code 261QU0200X - Urgent Care Clinic/Center
Is Primary No

Agent

Name Role
CAMMY LYN BEALL Agent

Organizer

Name Role Address
C Richard Wilkins Attorney At Law, PLLC Organizer 7070 Bruns DriveMobile, AL 36695

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State