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Cancer Care Center, P.C.

Details

Name: Cancer Care Center, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 11 Feb 2011 (14 years ago) (Companies founded in February 2011)
Entity Number: 000-003-705
Register Number: 000003705
ZIP code: 35601 (Companies in Morgan, 35601)
County: Morgan
Place of Formation: Morgan County
Registered Office Street Address: 1310 14TH AVENUE SEDECATUR, AL 35601
Authorized Capital: 10,000@ $1 PV

Activities PRACTICE OF MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1861797920 2011-01-21 2011-03-09 1310 14TH AVE SE, DECATUR, AL, 356014347, US 1310 14TH AVE SE, DECATUR, AL, 356014347, US

Contacts

Phone +1 256-353-5151
Fax 2563519915

Authorized person

Name NAVEEN LOBO
Role PRESIDENT
Phone 2563535151

Taxonomy

Taxonomy Code 207RX0202X - Medical Oncology Physician
License Number 25921
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CANCER CARE CENTER, P.C. 401(K) PLAN 2023 274384748 2024-06-27 CANCER CARE CENTER, P.C. 15
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 2563535151
Plan sponsor’s address 1310 14TH AVE SE, DECATUR, AL, 356014347

Signature of

Role Plan administrator
Date 2024-06-27
Name of individual signing NATIONAL PENSION
CANCER CARE CENTER, P.C. DEFINED BENEFIT PENSION PLAN 2022 274384748 2023-03-17 CANCER CARE CENTER, P.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 2563535151
Plan sponsor’s address 1310 14TH AVE SE, DECATUR, AL, 356014347

Signature of

Role Plan administrator
Date 2023-03-17
Name of individual signing NATIONAL PENSION
CANCER CARE CENTER, P.C. 401(K) PLAN 2022 274384748 2023-03-17 CANCER CARE CENTER, P.C. 15
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 2563535151
Plan sponsor’s address 1310 14TH AVE SE, DECATUR, AL, 356014347

Signature of

Role Plan administrator
Date 2023-03-17
Name of individual signing NATIONAL PENSION
CANCER CARE CENTER, P.C. DEFINED BENEFIT PENSION PLAN 2021 274384748 2022-06-30 CANCER CARE CENTER, P.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 2563535151
Plan sponsor’s address 1310 14TH AVE SE, DECATUR, AL, 356014347

Signature of

Role Plan administrator
Date 2022-06-30
Name of individual signing NATIONAL PENSION
CANCER CARE CENTER, P.C. 401(K) PLAN 2021 274384748 2022-06-30 CANCER CARE CENTER, P.C. 14
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 2563535151
Plan sponsor’s address 1310 14TH AVE SE, DECATUR, AL, 356014347

Signature of

Role Plan administrator
Date 2022-06-30
Name of individual signing NATIONAL PENSION
CANCER CARE CENTER, P.C. DEFINED BENEFIT PENSION PLAN 2020 274384748 2021-05-09 CANCER CARE CENTER, P.C. 5
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 2563535151
Plan sponsor’s address 1310 14TH AVE SE, DECATUR, AL, 356014347

Signature of

Role Plan administrator
Date 2021-05-09
Name of individual signing NATIONAL PENSION
CANCER CARE CENTER, P.C. 401(K) PLAN 2020 274384748 2021-05-09 CANCER CARE CENTER, P.C. 17
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 2563535151
Plan sponsor’s address 1310 14TH AVE SE, DECATUR, AL, 356014347

Signature of

Role Plan administrator
Date 2021-05-09
Name of individual signing NATIONAL PENSION
CANCER CARE CENTER, P.C. 401(K) PLAN 2019 274384748 2020-05-11 CANCER CARE CENTER, P.C. 14
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 2563535151
Plan sponsor’s address 1310 14TH AVE SE, DECATUR, AL, 356014347

Signature of

Role Plan administrator
Date 2020-05-11
Name of individual signing NATIONAL PENSION
CANCER CARE CENTER, P.C. DEFINED BENEFIT PENSION PLAN 2019 274384748 2020-05-08 CANCER CARE CENTER, P.C. 4
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 2563535151
Plan sponsor’s address 1310 14TH AVE SE, DECATUR, AL, 356014347

Signature of

Role Plan administrator
Date 2020-05-08
Name of individual signing NATIONAL PENSION
CANCER CARE CENTER RETIREMENT TRUST 2018 274384748 2019-04-17 CANCER CARE CENTER 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-03-01
Business code 541600
Sponsor’s telephone number 2563535151
Plan sponsor’s address 1310 14TH AVE SE, DECATUR, AL, 356014347

Signature of

Role Plan administrator
Date 2019-04-17
Name of individual signing NATIONAL PENSION

Incorporator

Name Role Address
LOBO, THOMAS N Incorporator 1310 14TH AVENUE SEDECATUR, AL 35601
KANTAMNENI, VENKATA R Incorporator 4230 WILLOWBEND ROADDECATUR, AL 35603

Agent

Name Role Address
LOBO, THOMAS N Agent 1310 14TH AVENUE SEDECATUR, AL 35601

Date of last update: 29 Jul 2024

Sources: Alabama Secretary of State