| Name: | Wetumpka Urgent Care, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 28 Sep 2011 (13 years ago) |
| Entity Number: | 000-026-541 |
| Register Number: | 000026541 |
| ZIP code: | 36092 |
| County: | Elmore |
| Place of Formation: | Elmore County |
| Principal Address: | 500 HOSPITAL DRWETUMPKA, AL 36092 |
Activities
PROVIDE HEALTH CARE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194057554 | 2010-02-09 | 2020-02-21 | 11 CAMBRIDGE DRIVE, WETUMPKA, AL, 36093, US | 11 CAMBRIDGE DRIVE, WETUMPKA, AL, 36093, US | |||||||||||||
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| Phone | +1 334-567-8633 |
Authorized person
| Name | MICHAEL D BRUCE |
| Role | CEO |
| Phone | 3345674311 |
Taxonomy
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BRUCE, MICHAEL D | Organizer | 500 HOSPITAL DRIVEWETUMPKA, AL 36092 |
| IVY CREEK OF ELMORE LLC | Organizer | 500 HOSPITAL DRWETUMPKA, AL 36092 |
| Name | Role | Address |
|---|---|---|
| BRUCE, MICHAEL D | Agent | 500 HOSPITAL DRIVEWETUMPKA, AL 36092 |
| Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 316087436 | 0418600 | 2011-12-07 | 11 CAMBRIDGE DR, WETUMPKA, AL, 36093 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Citation ID | 01001A |
| Citaton Type | Serious |
| Standard Cited | 19101030 C01 IVB |
| Issuance Date | 2011-12-21 |
| Abatement Due Date | 2012-01-16 |
| Current Penalty | 2400.0 |
| Initial Penalty | 2400.0 |
| Nr Instances | 1 |
| Nr Exposed | 3 |
| Gravity | 05 |
| Citation ID | 01001B |
| Citaton Type | Serious |
| Standard Cited | 19101030 C01 V |
| Issuance Date | 2011-12-21 |
| Abatement Due Date | 2012-01-09 |
| Nr Instances | 1 |
| Nr Exposed | 3 |
| Gravity | 05 |
| Citation ID | 01002 |
| Citaton Type | Serious |
| Standard Cited | 19101030 D02 I |
| Issuance Date | 2011-12-21 |
| Abatement Due Date | 2012-01-02 |
| Current Penalty | 3600.0 |
| Initial Penalty | 3600.0 |
| Nr Instances | 1 |
| Nr Exposed | 3 |
| Gravity | 05 |
| Citation ID | 01003A |
| Citaton Type | Serious |
| Standard Cited | 19101030 G02 IV |
| Issuance Date | 2011-12-21 |
| Abatement Due Date | 2012-01-09 |
| Current Penalty | 2400.0 |
| Initial Penalty | 2400.0 |
| Nr Instances | 3 |
| Nr Exposed | 3 |
| Gravity | 05 |
| Citation ID | 01003B |
| Citaton Type | Serious |
| Standard Cited | 19101030 G02 VIIF |
| Issuance Date | 2011-12-21 |
| Abatement Due Date | 2012-01-02 |
| Nr Instances | 1 |
| Nr Exposed | 3 |
| Gravity | 05 |
| Citation ID | 02001 |
| Citaton Type | Other |
| Standard Cited | 19101030 H05 I |
| Issuance Date | 2011-12-21 |
| Abatement Due Date | 2012-01-16 |
| Nr Instances | 1 |
| Nr Exposed | 3 |
| Gravity | 01 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
