| Name: | McCluskey Primary Care, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 31 May 2024 (6 months ago) (Companies founded in May 2024) |
| Entity Number: | 001-138-706 |
| Register Number: | 001138706 |
| ZIP code: | 35960 (Companies in Cherokee, 35960) |
| County: | Cherokee |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 750 Highway 9, Suite 708Centre, AL 35960 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982447231 | 2024-06-14 | 2024-07-20 | 655 COUNTY ROAD 146, LEESBURG, AL, 359834775, US | 215 INDUSTRIAL BLVD, LEESBURG, AL, 359833742, US | |||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||
| Phone | +1 256-490-7339 |
Authorized person
| Name | KIMBERLY ANN MCCLUSKEY-JONES |
| Role | NURSE PRACTITIONER |
| Phone | 2564907339 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| Is Primary | No |
| Taxonomy Code | 363LP2300X - Primary Care Nurse Practitioner |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| McCluskey-Jones, Kimberly | Organizer | 215 Industrial Blvd Suite CLeesburg, AL 35983 |
| Name | Role | Address |
|---|---|---|
| McCluskey-Jones, Kimberly | Agent | 215 Industrial Blvd Suite CLeesburg, AL 35983 |
Date of last update: 18 Aug 2024
Sources: Alabama Secretary of State
