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Shoals Urological Associates, P.C.

Details

Name: Shoals Urological Associates, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 11 Aug 1977 (47 years ago) (Companies founded in August 1977)
Entity Number: 000-047-461
Register Number: 000047461
Historical Names: Shoals Urological Associates, P.A.
ZIP code: 35660 (Companies in Colbert, 35660)
County: Colbert
Place of Formation: Colbert County
Principal Address: SHEFFIELD, AL
Registered Office Street Address: 1015 S JACKSON HWYSHEFFIELD, AL 35660
Authorized Capital: $1,000

Activities MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1427252253 2007-06-14 2007-10-09 1015 S JACKSON HWY, SHEFFIELD, AL, 356605760, US 607 GANDY ST NE, RUSSELLVILLE, AL, 356531911, US

Contacts
Phone +1 256-381-2628
Fax 2563865551

Authorized person
Name MRS. DEANNA M LONGMIRE
Role INSURANCE
Phone 2563812628

Taxonomy
Taxonomy Code 208800000X - Urology Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SHOALS UROLOGICAL ASSOCIATES, P.C. CASH BALANCE PLAN 2023 630730955 2024-05-01 SHOALS UROLOGICAL ASSOCIATES, P.C. 20
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2003-08-01
Business code 621111
Sponsor’s telephone number 2563815510
Plan sponsor’s address 1015 SOUTH JACKSON HWY., SHEFFIELD, AL, 35660
SHOALS UROLOGICAL ASSOCIATES, P.C. CASH BALANCE PLAN 2022 630730955 2024-04-29 SHOALS UROLOGICAL ASSOCIATES, P.C. 19
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2003-08-01
Business code 621111
Sponsor’s telephone number 2563815510
Plan sponsor’s address 1015 SOUTH JACKSON HWY., SHEFFIELD, AL, 35660
SHOALS UROLOGICAL ASSOCIATES, P.C. 401(K) PLAN 2022 630730955 2024-05-15 SHOALS UROLOGICAL ASSOCIATES, P.C. 20
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2001-02-01
Business code 621111
Sponsor’s telephone number 2563815510
Plan sponsor’s address 1015 SOUTH JACKSON HWY, SHEFFIELD, AL, 35660
SHOALS UROLOGICAL ASSOCIATES, P.C. 401(K) PLAN 2021 630730955 2023-05-12 SHOALS UROLOGICAL ASSOCIATES, P.C. 17
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2001-02-01
Business code 621111
Sponsor’s telephone number 2563815510
Plan sponsor’s address 1015 SOUTH JACKSON HWY, SHEFFIELD, AL, 35660
SHOALS UROLOGICAL ASSOCIATES, P.C. CASH BALANCE PLAN 2021 630730955 2023-05-12 SHOALS UROLOGICAL ASSOCIATES, P.C. 17
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2003-08-01
Business code 621111
Sponsor’s telephone number 2563815510
Plan sponsor’s address 1015 SOUTH JACKSON HWY., SHEFFIELD, AL, 35660
SHOALS UROLOGICAL ASSOCIATES, P.C. 401(K) RETIREMENT PLAN 2020 630730955 2022-05-31 SHOALS UROLOGICAL ASSOCIATES, P.C. 22
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2001-02-01
Business code 621111
Sponsor’s telephone number 2563815510
Plan sponsor’s address 1015 SOUTH JACKSON HWY, SHEFFIELD, AL, 35660
SHOALS UROLOGICAL ASSOCIATES, P.C. 401(K) RETIREMENT PLAN 2020 630730955 2022-05-25 SHOALS UROLOGICAL ASSOCIATES, P.C. 22
Three-digit plan number (PN) 003
Effective date of plan 2001-02-01
Business code 621111
Sponsor’s telephone number 2563815510
Plan sponsor’s address 1015 SOUTH JACKSON HWY, SHEFFIELD, AL, 35660
SHOALS UROLOGICAL ASSOCIATES, P.C. CASH BALANCE PLAN 2020 630730955 2022-06-29 SHOALS UROLOGICAL ASSOCIATES, P.C. 18
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2003-08-01
Business code 621111
Sponsor’s telephone number 2563815510
Plan sponsor’s address 1015 SOUTH JACKSON HWY., SHEFFIELD, AL, 35660
SHOALS UROLOGICAL ASSOCIATES, P.C. 401(K) RETIREMENT PLAN 2019 630730955 2021-05-13 SHOALS UROLOGICAL ASSOCIATES, P. C. 23
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2001-02-01
Business code 621111
Sponsor’s telephone number 2563815510
Plan sponsor’s address 1015 SOUTH JACKSON HWY, SHEFFIELD, AL, 356605760
SHOALS UROLOGICAL ASSOCIATES, P.C. CASH BALANCE PLAN 2019 630730955 2021-05-13 SHOALS UROLOGICAL ASSOCIATES, P C 18
File View Page
Three-digit plan number (PN) 004
Effective date of plan 2003-08-01
Business code 621111
Sponsor’s telephone number 2563815510
Plan sponsor’s address 1015 SOUTH JACKSON HWY, SHEFFIELD, AL, 356605760

Agent

Name Role
SMITH, MARK W. M.D. Agent

Incorporator

Name Role
HOLCOMB, F LARRY MD Incorporator
MATHEWS, ROBERT D MD Incorporator

Events

Event Date Event Type Old Value New Value
1985-10-04 Name Change Shoals Urological Associates, P.A. Shoals Urological Associates, P.C.

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1015 S JACKSON HWYSHEFFIELD, AL 35660

H & M Enterprises, LLP Lithotripsy of the Shoals, LLC

Date of last update: 30 Jul 2024

Sources: Alabama Secretary of State

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