Name: | Family Health Associates, P. C. |
Jurisdiction: | Alabama |
Legal type: | Domestic Professional Corporation |
Status: | Dissolved |
Date of registration: | 01 Oct 1971 (53 years ago) |
Date of dissolution: | 29 Dec 2023 |
Entity Number: | 000-002-529 |
Register Number: | 000002529 |
Historical Names: |
William E. Birdsong, M.D., P. A.
Family Health Associates, P. A. |
County: | Walker |
Place of Formation: | Walker County |
Registered Office Street Address: | 801 20TH AVENUE EASTJASPER, AL 35501 |
Registered Office Street Address ZIP Code: | 35501 |
Authorized Capital: | $5,000 |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1528002391 | 2006-06-15 | 2013-02-12 | 801 20TH AVE E, JASPER, AL, 355014070, US | 801 20TH AVE E, JASPER, AL, 355014070, US | |||||||||||||||||||||||
|
Phone | +1 205-384-9004 |
Fax | 2053852040 |
Authorized person
Name | MS. BONITA CAROL POSEY |
Role | ADMINISTRATOR |
Phone | 2053852017 |
Taxonomy
Taxonomy Code | 207Q00000X - Family Medicine Physician |
State | AL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 529201200 |
State | AL |
Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
FAMILY HEALTH ASSOCIATES P.C. 401(K) PROFIT SHARING PLAN | 2023 | 630600362 | 2024-01-22 | FAMILY HEALTH ASSOCIATES, P.C. | 39 | |||||||||||||||||||||
|
Role | Plan administrator |
Date | 2024-01-22 |
Name of individual signing | MITTIE MCADAMS |
File | View Page |
Three-digit plan number (PN) | 001 |
Effective date of plan | 1984-10-01 |
Business code | 621111 |
Sponsor’s telephone number | 2053849004 |
Plan sponsor’s address | 801 20TH AVENUE EAST, JASPER, AL, 35501 |
Signature of
Role | Plan administrator |
Date | 2023-10-02 |
Name of individual signing | MITTIE MCADAMS |
Name | Role |
---|---|
SMITH, JUDSON W | Agent |
Name | Role |
---|---|
BIRDSONG, W E | Incorporator |
Event Date | Event Type | Old Value | New Value |
---|---|---|---|
1994-12-15 | Name Change | Family Health Associates, P. A. | Family Health Associates, P. C. |
1990-02-01 | Name Change | William E. Birdsong, M.D., P. A. | Family Health Associates, P. A. |
Date of last update: 29 Jul 2024
Sources: Alabama Secretary of State