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RMCCA Clinic A LLC

Details

Name: RMCCA Clinic A LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 27 Aug 2019 (5 years ago)
Entity Number: 000-585-719
Register Number: 000585719
ZIP code: 36037
County: Butler
Place of Formation: Butler County
Registered Office Street Address: 415 EAST COMMERCE STREET SUITE 101GREENVILLE, AL 36037
Registered Office Mailing Address: P.O. BOX 583GREENVILLE, AL 36037

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1477979672 2014-03-12 2020-03-20 300 N COLLEGE STREET, GREENVILLE, AL, 36037, US 300 N COLLEGE STREET, GREENVILLE, AL, 36037, US

Contacts

Phone +1 334-382-2681
Fax 3343839884

Authorized person

Name AMANDA SALTER
Role DIRECTOR
Phone 3343715025

Taxonomy

Taxonomy Code 261QP2300X - Primary Care Clinic/Center
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 170603
State AL

Agent

Name Role Address
HARTLEY, P R Agent 803 FORT DALE ROADGREENVILLE, AL 36037

Organizer

Name Role Address
MCLENDON, DEXTER Organizer 385 CLOVERDALE RD.GREENVILLE, AL 36037

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State