| Name: | Cullman Internal Medicine, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 04 Sep 1979 (45 years ago) |
| Entity Number: | 000-058-112 |
| Register Number: | 000058112 |
| Historical Names: |
Cullman Internal Medicine, P.A.
|
| County: | Cullman |
| Place of Formation: | Cullman County |
| Principal Address: | CULLMAN, AL |
| Registered Office Street Address: | 402 ARNOLD ST SUITE 108CULLMAN, AL 35055 |
| Registered Office Street Address ZIP Code: | 35055 |
| Authorized Capital: | $10,000 |
| Paid Share Capital: | $1,200 |
Activities
MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1366461261 | 2006-07-19 | 2020-08-22 | PO BOX 870, CULLMAN, AL, 350560870, US | 1890 AL HIGHWAY 157, SUITE 420, CULLMAN, AL, 350583601, US | |||||||||||||||
|
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| Phone | +1 256-737-8073 |
| Fax | 2567397052 |
Authorized person
| Name | WILLIAM F PEINHARDT |
| Role | PRESIDENT/DIRECTOR |
| Phone | 2567378009 |
Taxonomy
| Taxonomy Code | 207RP1001X - Pulmonary Disease Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| THE CULLMAN INTERNAL MEDICINE 401(K) PLAN | 2011 | 630776728 | 2012-05-21 | CULLMAN INTERNAL MEDICINE | 61 | |||||||||||||||||||||||||||||
|
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| Administrator’s EIN | 630776728 |
| Plan administrator’s name | CULLMAN INTERNAL MEDICINE |
| Plan administrator’s address | 1890 AL HWY 157, SUITE 300, CULLMAN, AL, 35058 |
| Administrator’s telephone number | 2567378008 |
Signature of
| Role | Plan administrator |
| Date | 2012-05-21 |
| Name of individual signing | DR. WILLIAM PEINHARDT |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2009-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2567378008 |
| Plan sponsor’s address | 1890 AL HWY 157, SUITE 300, CULLMAN, AL, 35058 |
Plan administrator’s name and address
| Administrator’s EIN | 630776728 |
| Plan administrator’s name | CULLMAN INTERNAL MEDICINE |
| Plan administrator’s address | 1890 AL HWY 157, SUITE 300, CULLMAN, AL, 35058 |
| Administrator’s telephone number | 2567378008 |
Signature of
| Role | Plan administrator |
| Date | 2011-06-29 |
| Name of individual signing | DR. WILLIAM PEINHARDT |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2009-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2567378008 |
| Plan sponsor’s address | 1890 AL HWY 157, SUITE 300, CULLMAN, AL, 35058 |
Plan administrator’s name and address
| Administrator’s EIN | 630776728 |
| Plan administrator’s name | CULLMAN INTERNAL MEDICINE |
| Plan administrator’s address | 1890 AL HWY 157, SUITE 300, CULLMAN, AL, 35058 |
| Administrator’s telephone number | 2567378008 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-09 |
| Name of individual signing | FRANK HARRISON |
| Name | Role |
|---|---|
| PEINHARDT, WILLIAM F MD | Agent |
| Name | Role |
|---|---|
| PEINHARDT, WILLIAM F MD | Incorporator |
| LYRENE, GEORGE A MD | Incorporator |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 1984-02-22 | Name Change | Cullman Internal Medicine, P.A. | Cullman Internal Medicine, P.C. |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
