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 |
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 | |||||||||||||||||||||
|
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 |
Name | Role | Address |
---|---|---|
HARTLEY, P R | Agent | 803 FORT DALE ROADGREENVILLE, AL 36037 |
Name | Role | Address |
---|---|---|
MCLENDON, DEXTER | Organizer | 385 CLOVERDALE RD.GREENVILLE, AL 36037 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State