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Women's Healthcare of Dothan, P.C.

Details

Name: Women's Healthcare of Dothan, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 30 Nov 1979 (45 years ago) (Companies founded in November 1979)
Entity Number: 000-059-316
Register Number: 000059316
Historical Names: Southeastern Gynecology and Obstetrics, P.A.
ZIP code: 36303 (Companies in Houston, 36303)
County: Houston
Place of Formation: Houston County
Registered Office Street Address: 4300 W. MAIN STREET, SUITE 31DOTHAN, AL 36305
Principal Address: 3226 W MAIN STREETDOTHAN, AL 36303
Authorized Capital: $1,000

Activities OBSTETRICS & GYNECOLOGY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1396305579 2019-06-19 2019-06-19 4300 W MAIN ST STE 31, DOTHAN, AL, 363051315, US 4300 W MAIN ST STE 31, DOTHAN, AL, 363051315, US

Contacts
Phone +1 334-793-6511
Fax 3347026178

Authorized person
Name CHRISTOPHER E NICHOLLS
Role MEDICAL DOCTOR
Phone 3347936511

Taxonomy
Taxonomy Code 363LX0001X - Obstetrics & Gynecology Nurse Practitioner
Is Primary Yes

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
1JGX8 Active Non-Manufacturer 1998-12-23 2024-05-31 2029-05-31 2025-05-29

Contact Information
POC MARLENE SCHALLER
Phone +1 334-793-6511
Address 4300 W MAIN ST STE 31, DOTHAN, AL, 36305 1315, UNITED STATES

Ownership of Offeror Information
Highest Level Owner Information not Available
Immediate Level Owner Information not Available
List of Offerors (0) Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WOMEN'S HEALTHCARE OF DOTHAN, P.C. PROFIT SHARING PLAN 2023 630778708 2024-07-29 WOMEN'S HEALTHCARE OF DOTHAN, P.C. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-07-01
Business code 621111
Sponsor’s telephone number 3347936511
Plan sponsor’s address 4300 W. MAIN STREET, SUITE 31, DOTHAN, AL, 363051051

Signature of
Role Plan administrator
Date 2024-07-29
Name of individual signing BRENT MURRAY
WOMEN'S HEALTHCARE OF DOTHAN, P.C. PROFIT SHARING PLAN 2022 630778708 2023-06-05 WOMEN'S HEALTHCARE OF DOTHAN, P.C. 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-07-01
Business code 621111
Sponsor’s telephone number 3347936511
Plan sponsor’s address 4300 W. MAIN STREET, SUITE 31, DOTHAN, AL, 363051051

Signature of
Role Plan administrator
Date 2023-06-05
Name of individual signing BRENT MURRAY
WOMEN'S HEALTHCARE OF DOTHAN, P.C. PROFIT SHARING PLAN 2021 630778708 2022-08-25 WOMEN'S HEALTHCARE OF DOTHAN, P.C. 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-07-01
Business code 621111
Sponsor’s telephone number 3347936511
Plan sponsor’s address 4300 W. MAIN STREET, SUITE 31, DOTHAN, AL, 363051051

Signature of
Role Plan administrator
Date 2022-08-25
Name of individual signing BRENT MURRAY
WOMEN'S HEALTHCARE OF DOTHAN, P.C. PROFIT SHARING PLAN 2020 630778708 2021-07-13 WOMEN'S HEALTHCARE OF DOTHAN, P.C. 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-07-01
Business code 621111
Sponsor’s telephone number 3347936511
Plan sponsor’s address 4300 W. MAIN STREET, SUITE 31, DOTHAN, AL, 36305

Signature of
Role Plan administrator
Date 2021-07-13
Name of individual signing BRENT MURRAY
WOMEN'S HEALTHCARE OF DOTHAN, P.C. PROFIT SHARING PLAN 2019 630778708 2020-10-09 WOMEN'S HEALTHCARE OF DOTHAN, P.C. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-07-01
Business code 621111
Sponsor’s telephone number 3347936511
Plan sponsor’s address 4300 W. MAIN STREET, SUITE 31, DOTHAN, AL, 363051051

Signature of
Role Plan administrator
Date 2020-10-09
Name of individual signing BRENT MURRAY
WOMEN'S HEALTHCARE OF DOTHAN, P.C. PROFIT SHARING PLAN 2018 630778708 2019-04-24 WOMEN'S HEALTHCARE OF DOTHAN, P.C. 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-07-01
Business code 621111
Sponsor’s telephone number 3347936511
Plan sponsor’s address 4300 W. MAIN STREET, SUITE 31, DOTHAN, AL, 363051051

Signature of
Role Plan administrator
Date 2019-04-24
Name of individual signing BRENT A MURRAY
Role Employer/plan sponsor
Date 2019-04-24
Name of individual signing BRENT A MURRAY
WOMEN'S HEALTHCARE OF DOTHAN, P.C. PROFIT SHARING PLAN 2017 630778708 2018-05-11 WOMEN'S HEALTHCARE OF DOTHAN, P.C. 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-07-01
Business code 621111
Sponsor’s telephone number 3347936511
Plan sponsor’s address 4300 W. MAIN STREET, SUITE 31, DOTHAN, AL, 363051051

Signature of
Role Plan administrator
Date 2018-05-11
Name of individual signing BRENT MURRAY
Role Employer/plan sponsor
Date 2018-05-11
Name of individual signing BRENT MURRAY
WOMEN'S HEALTHCARE OF DOTHAN, P.C. PROFIT SHARING PLAN 2016 630778708 2017-04-12 WOMEN'S HEALTHCARE OF DOTHAN, P.C. 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-07-01
Business code 621111
Sponsor’s telephone number 3347936511
Plan sponsor’s address 4300 W. MAIN STREET, SUITE 31, DOTHAN, AL, 363051051

Signature of
Role Plan administrator
Date 2017-04-12
Name of individual signing BEN R. MARTIN
Role Employer/plan sponsor
Date 2017-04-12
Name of individual signing BEN R. MARTIN
WOMEN'S HEALTHCARE OF DOTHAN, P.C. PROFIT SHARING PLAN 2015 630778708 2016-04-06 WOMEN'S HEALTHCARE OF DOTHAN, P.C. 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-07-01
Business code 621111
Sponsor’s telephone number 3347936511
Plan sponsor’s address 4300 W. MAIN STREET, SUITE 31, DOTHAN, AL, 363051051

Signature of
Role Plan administrator
Date 2016-04-06
Name of individual signing BEN R. MARTIN
Role Employer/plan sponsor
Date 2016-04-06
Name of individual signing BEN R. MARTIN
WOMEN'S HEALTHCARE OF DOTHAN, P.C. PROFIT SHARING PLAN 2014 630778708 2015-03-19 WOMEN'S HEALTHCARE OF DOTHAN, P.C. 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-07-01
Business code 621111
Sponsor’s telephone number 3347936511
Plan sponsor’s address 4300 W. MAIN STREET, SUITE 31, DOTHAN, AL, 363051051

Signature of
Role Plan administrator
Date 2015-03-19
Name of individual signing BEN MARTIN
Role Employer/plan sponsor
Date 2015-03-19
Name of individual signing BEN MARTIN

Agent

Name Role
JOHNSTON, NICOLE B Agent

Incorporator

Name Role Address
GANNON, HERBERT H JR Incorporator No data
MARTIN, BEN R Incorporator No data
DOZIER, PHILIP M Incorporator No data
BUTLER, JAMES S Incorporator No data
HAGLER, ROBERT M Incorporator 1704 BROOKRIDGE DRIVEDOTHAN, AL 36303

Events

Event Date Event Type Old Value New Value
1993-11-10 Name Change Southeastern Gynecology and Obstetrics, P.A. Women's Healthcare of Dothan, P.C.

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Related by address

No related companies by address

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State

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