Search icon

Huntsville Primary and Integrative Care, LLC

Details

Name: Huntsville Primary and Integrative Care, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Dissolved
Date of registration: 21 Dec 2021 (3 years ago)
Date of dissolution: 30 Dec 2023
Entity Number: 000-958-032
Register Number: 000958032
ZIP code: 35758
County: Madison
Place of Formation: Alabama
Registered Office Street Address: 102 Bluebelle Dr.Madison, AL 35758
Registered Office Mailing Address: PO Box 2205MADISON, AL 35758

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1972264323 2022-01-07 2022-02-24 PO BOX 6756, HUNTSVILLE, AL, 358130756, US 2021 CLINTON AVE W STE A, HUNTSVILLE, AL, 358057111, US

Contacts

Phone +1 256-539-4000
Fax 2565134886

Authorized person

Name TRACY MILLAR
Role PRESIDENT
Phone 2565394000

Taxonomy

Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes
Taxonomy Code 261QP2300X - Primary Care Clinic/Center
Is Primary No

Agent

Name Role
The Millar Law Firm, LLC Agent

Organizer

Name Role Address
Millar, Tracy Organizer 2021 Clinton Ave WHuntsville, AL 35805

Date of last update: 17 Aug 2024

Sources: Alabama Secretary of State