| Name: | Clio Health Clinic, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 25 Jun 2022 (2 years ago) (Companies founded in June 2022) |
| Entity Number: | 001-026-946 |
| Register Number: | 001026946 |
| ZIP code: | 36017 (Companies in Barbour, 36017) |
| County: | Barbour |
| Place of Formation: | Alabama |
| Registered Office Mailing Address: | 217 Natchez WayOzark, AL 36360 |
| Registered Office Street Address: | 1203 Blue Springs StreetClio, AL 36017 |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| QM7GTAHAMUZ4 | 2023-07-11 | 1203 BLUE SPRINGS ST, CLIO, AL, 36017, 2523, USA | 217 NATCHEZ WAY, OZARK, AL, 36360, USA | |||||||||||||||||||||||||||||||||||||||||||||
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| Division Name | CLIO HEALTH CLINIC LLC |
| Congressional District | 02 |
| State/Country of Incorporation | AL, USA |
| Activation Date | 2022-07-25 |
| Initial Registration Date | 2022-07-11 |
| Entity Start Date | 2022-06-27 |
| Fiscal Year End Close Date | Dec 23 |
Service Classifications
| NAICS Codes | 621111, 621399 |
| Product and Service Codes | 6515 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | URSULA S WILSON |
| Role | OWNER |
| Address | 1203 BLUE SPRINGS ST, CLIO, AL, 36017, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | URSULA S WILSON |
| Role | OWNER |
| Address | 1203 BLUE SPRINGS ST, CLIO, AL, 36017, USA |
| Past Performance | Information not Available |
|---|
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1801503297 | 2022-11-03 | 2023-12-27 | 1203 BLUE SPRINGS ST, CLIO, AL, 360172523, US | 1203 BLUE SPRINGS ST, CLIO, AL, 360172523, US | |||||||||||||||
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| Phone | +1 334-490-1200 |
| Fax | 3347801070 |
Authorized person
| Name | URSULA S WILSON |
| Role | CEO |
| Phone | 3344901200 |
Taxonomy
| Taxonomy Code | 363L00000X - Nurse Practitioner |
| Is Primary | Yes |
| Name | Role |
|---|---|
| Wilson, Ursula S | Agent |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
