| Name: | NORTH JACKSON URGENT CARE, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Dissolved |
| Date of registration: | 10 Sep 2013 (11 years ago) |
| Date of dissolution: | 24 Aug 2021 |
| Entity Number: | 000-286-924 |
| Register Number: | 000286924 |
| ZIP code: | 35772 |
| County: | Jackson |
| Place of Formation: | Jackson County |
| Principal Address: | 42950 US HIGHWAY 72STEVENSON, AL 35772 |
| Registered Office Street Address: | 126 E PEACHTREE STREETSCOTTSBORO, AL 35768 |
Activities
PERFORM MEDICAL TREATMENT
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164859138 | 2013-10-04 | 2013-10-04 | P.O. BOX 1050, SCOTTSBORO, AL, 35768, US | 42950 U.S. HIGHWAY 72, STEVENSON, AL, 35772, US | |||||||||||||||
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| Phone | +1 256-437-1020 |
| Fax | 2564371047 |
Authorized person
| Name | LONNIE ALBIN |
| Role | CMD CHIEF MEDICAL DIRECTOR |
| Phone | 2562183818 |
Taxonomy
| Taxonomy Code | 261QU0200X - Urgent Care Clinic/Center |
| Is Primary | Yes |
| Name | Role |
|---|---|
| LACKEY, GARY W | Agent |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
