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Montgomery Internists, P.C.

Details

Name: Montgomery Internists, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 31 Oct 1975 (49 years ago)
Entity Number: 000-039-365
Register Number: 000039365
Historical Names: Montgomery Medical Specialists, P.A.
Montgomery Internists, P.A.
Place of Formation: Montgomery County
Principal Address: MONTGOMERY, AL
Registered Office Street Address: 1722 PINE ST. STE 700MONTGOMERY, AL 36194
Authorized Capital: $10,000
Paid Share Capital: ----

Activities MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1336215748 2006-11-28 2022-03-14 PO BOX 242848, MONTGOMERY, AL, 361242848, US 1722 PINE ST, SUITE 1002, MONTGOMERY, AL, 361061103, US

Contacts

Phone +1 334-270-9914
Fax 3342703195
Phone +1 334-263-4444

Authorized person

Name DR. WILLIAM D SMITH
Role PRESIDENT/OWNER
Phone 3342634444

Taxonomy

Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MONTGOMERY INTERNISTS, P. C. 401(K) PLAN 2021 630697287 2022-07-12 MONTGOMERY INTERNISTS, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 3342634444
Plan sponsor’s address 1722 PINE STREET, SUITE 1002, MONTGOMERY, AL, 36106

Signature of

Role Plan administrator
Date 2022-07-12
Name of individual signing WILLIAM D. SMITH
Role Employer/plan sponsor
Date 2022-07-12
Name of individual signing WILLIAM D. SMITH
MONTGOMERY INTERNISTS, P.C. 401(K) PLAN 2021 630697287 2022-07-11 MONTGOMERY INTERNISTS, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 3342634444
Plan sponsor’s address 1722 PINE STREET, SUITE 1002, MONTGOMERY, AL, 36106

Signature of

Role Plan administrator
Date 2022-07-11
Name of individual signing WILLIAM D. SMITH
Role Employer/plan sponsor
Date 2022-07-11
Name of individual signing WILLIAM D. SMITH
MONTGOMERY INTERNISTS, P.C. 401(K) PLAN 2020 630697287 2021-07-01 MONTGOMERY INTERNISTS, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 3342634444
Plan sponsor’s address 1722 PINE STREET, SUITE 1002, MONTGOMERY, AL, 36106

Signature of

Role Plan administrator
Date 2021-07-01
Name of individual signing WILLIAM D. SMITH
Role Employer/plan sponsor
Date 2021-07-01
Name of individual signing WILLIAM D. SMITH
MONTGOMERY INTERNISTS, P.C. 401(K) PLAN 2019 630697287 2020-04-27 MONTGOMERY INTERNISTS, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 3342634444
Plan sponsor’s address 1722 PINE STREET, SUITE 1002, MONTGOMERY, AL, 36106

Signature of

Role Plan administrator
Date 2020-04-27
Name of individual signing WILLIAM D. SMITH
Role Employer/plan sponsor
Date 2020-04-27
Name of individual signing WILLIAM D. SMITH
MONTGOMERY INTERNISTS, P.C. 401(K) PLAN 2018 630697287 2019-04-18 MONTGOMERY INTERNISTS, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 3342634444
Plan sponsor’s address 1722 PINE STREET, SUITE 1002, MONTGOMERY, AL, 36106

Signature of

Role Plan administrator
Date 2019-04-18
Name of individual signing WILLIAM D. SMITH
MONTGOMERY INTERNISTS, P.C. 401(K) PLAN 2017 630697287 2018-04-10 MONTGOMERY INTERNISTS, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 3342634444
Plan sponsor’s address 1722 PINE STREET, SUITE 1002, MONTGOMERY, AL, 36106

Signature of

Role Plan administrator
Date 2018-04-10
Name of individual signing WILLIAM D. SMITH
MONTGOMERY INTERNISTS, P.C. 401(K) PLAN 2016 630697287 2017-03-27 MONTGOMERY INTERNISTS, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 3342634444
Plan sponsor’s address 1722 PINE STREET, SUITE 1002, MONTGOMERY, AL, 36106

Signature of

Role Plan administrator
Date 2017-03-27
Name of individual signing WILLIAM D. SMITH
MONTGOMERY INTERNISTS, P.C. 401(K) PLAN 2015 630697287 2016-05-20 MONTGOMERY INTERNISTS, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 3342634444
Plan sponsor’s address 1722 PINE STREET, SUITE 1002, MONTGOMERY, AL, 36106

Signature of

Role Plan administrator
Date 2016-05-20
Name of individual signing WILLIAM D. SMITH
MONTGOMERY INTERNISTS, P.C. 401(K) PLAN 2014 630697287 2015-04-21 MONTGOMERY INTERNISTS, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 3342634444
Plan sponsor’s address 1722 PINE STREET, SUITE 1002, MONTGOMERY, AL, 36106

Signature of

Role Plan administrator
Date 2015-04-21
Name of individual signing WILLIAM D. SMITH
MONTGOMERY INTERNISTS, P.C. 401(K) PLAN 2013 630697287 2014-09-30 MONTGOMERY INTERNISTS, P.C. 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 3342634444
Plan sponsor’s address 1722 PINE STREET, SUITE 1002, MONTGOMERY, AL, 36106

Signature of

Role Plan administrator
Date 2014-09-30
Name of individual signing WILLIAM D. SMITH

Agent

Name Role Address
CUMBIE, WILLIAM G JR Agent 2203 FELDER TERRACEMONTGOMERY, AL 36106

Incorporator

Name Role Address
HUTCHINSON, H HAMILTON Incorporator No data
MCBRYDE, R ROSS Incorporator No data
TISDALE, WILLIAM W Incorporator No data
CUMBIE, WILLIAM G JR Incorporator 2203 FELDER TERRACEMONTGOMERY, AL 36106

Events

Event Date Event Type Old Value New Value
1984-02-21 Name Change Montgomery Internists, P.A. Montgomery Internists, P.C.
1977-11-04 Name Change Montgomery Medical Specialists, P.A. Montgomery Internists, P.A.

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State