| Name: | Perry Medical Clinic, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 15 Sep 1983 (41 years ago) |
| Entity Number: | 000-094-064 |
| Register Number: | 000094064 |
| Historical Names: |
Brian A. Perry, M.D., P.C.
|
| County: | Cherokee |
| Place of Formation: | Cherokee County |
| Registered Office Street Address: | 401 NORTHWOOD DRCENTRE, AL 35960 |
| Registered Office Street Address ZIP Code: | 35960 |
| Authorized Capital: | $1,000 |
Activities
MEDICAL SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982789251 | 2006-10-26 | 2023-01-30 | 401 NORTHWOOD DR, CENTRE, AL, 359601022, US | 401 NORTHWOOD DR, CENTRE, AL, 359601022, US | |||||||||||||||||
|
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| Phone | +1 256-927-3607 |
| Fax | 2569273605 |
Authorized person
| Name | JESSICA P BAKANE |
| Role | ADMINISTRATOR |
| Phone | 2055582525 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| State | AL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PERRY MEDICAL CLINIC, P. C. PROFIT SHARING PLAN | 2022 | 630853465 | 2023-12-15 | PERRY MEDICAL CLINIC, P.C. | 24 | |||||||||||||
|
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| PERRY MEDICAL CLINIC, P. C. PROFIT SHARING PLAN | 2021 | 630853465 | 2023-03-28 | PERRY MEDICAL CLINIC, P.C. | 12 | |||||||||||||
|
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| Name | Role | Address |
|---|---|---|
| ALLEN, CLINTON MD | Agent | 401 NORTHWOOD DRCENTRE, AL 35960 |
| Name | Role | Address |
|---|---|---|
| ALLEN, CLINTON MD | Director | 401 NORTHWOOD DRCENTRE, AL 35960 |
| PERRY, BARTON MD | Director | 401 NORTHWOOD DRCENTRE, AL 35960 |
| Name | Role |
|---|---|
| PERRY, BRIAN A | Incorporator |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2020-02-05 | Name Change | Brian A. Perry, M.D., P.C. | Perry Medical Clinic, P.C. |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
