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Rise Primary Care, LLC

Details

Name: Rise Primary Care, LLC
Jurisdiction: Alabama
Legal type: Domestic Professional Limited Liability Company
Status: Exists
Date of registration: 24 Jan 2024 (10 months ago) (Companies founded in January 2024)
Entity Number: 001-117-838
Register Number: 001117838
Historical Names: Rise Medical Primary Care, LLC
ZIP code: 36265 (Companies in Calhoun, 36265)
County: Calhoun
Place of Formation: Alabama
Registered Office Street Address: 1642 Pelham Road, Ste AJacksonville, AL 36265

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1992551824 2024-04-30 2024-04-30 1642 PELHAM RD S STE A, JACKSONVILLE, AL, 362653312, US 1642 PELHAM RD S STE A, JACKSONVILLE, AL, 362653312, US

Contacts

Phone +1 256-365-1099
Fax 2563651052

Authorized person

Name MORGAN READ MARTIN
Role OWNER/MD
Phone 2563651099

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Agent

Name Role
Martin, Morgan R Agent

Events

Event Date Event Type Old Value New Value
2024-01-25 Name Change Rise Medical Primary Care, LLC Rise Primary Care, LLC

Date of last update: 18 Aug 2024

Sources: Alabama Secretary of State