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LUCEDALE URGENT CARE, PC

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Company Details

Name: LUCEDALE URGENT CARE, PC
Jurisdiction: MISSISSIPPI
Business Type: Profit Corporation
Status: Good Standing
Effective Date: 18 Jun 2018 (7 years ago)
Branch of: LUCEDALE URGENT CARE, PC, ALABAMA (Company Number 000-517-979)
Business ID: 1149688
ZIP code: 39452
County: George
State of Incorporation: ALABAMA
Principal Office Address: 103 W FRONTAGE ROAD, STE CLUCEDALE, MS 39452
Historical names: GMUC OF LUCEDALE, P.C.

Agent

Name Role Address
Leigh Havens Agent 103 W Frontage Road, STE C, Lucedale, MS 39452

Director

Name Role Address
Leigh Havens Director 103 W Frontage Road, STE C, Lucedale, MS 39452

President

Name Role Address
Leigh Havens President 103 W Frontage Road, STE C, Lucedale, MS 39452

National Provider Identifier

NPI Number:
1700372034
Certification Date:
2023-06-06

Authorized Person:

Name:
BRIDGOT PETERS
Role:
BILLING DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
261QU0200X - Urgent Care Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QM1300X - Multi-Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2514453722

Filings

Type Status Filed Date Description
Annual Report Filed 2024-02-22 Annual Report For LUCEDALE URGENT CARE, PC
Annual Report Filed 2023-02-16 Annual Report For LUCEDALE URGENT CARE, PC
Amendment Form Filed 2022-12-15 Amendment For GMUC OF LUCEDALE, P.C.
Annual Report Filed 2022-04-06 Annual Report For GMUC OF LUCEDALE, P.C.
Annual Report Filed 2021-04-15 Annual Report For GMUC OF LUCEDALE, P.C.
Annual Report Filed 2020-08-21 Annual Report For GMUC OF LUCEDALE, P.C.
Annual Report Filed 2019-04-15 Annual Report For GMUC OF LUCEDALE, P.C.
Formation Form Filed 2018-06-18 Formation For GMUC OF LUCEDALE, P.C.

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Date of last update: 20 May 2025

Sources: Company Profile on Mississippi Secretary of State Website