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Three Notch Medical Center, P.C.

Details

Name: Three Notch Medical Center, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 21 Dec 1984 (40 years ago)
Entity Number: 000-101-506
Register Number: 000101506
County: Covington
Place of Formation: Covington County
Principal Address: ANDALUSIA, AL
Registered Office Street Address: 835 SOUTH THREE NOTCH STANDALUSIA, AL 36420
Registered Office Street Address ZIP Code: 36420
Authorized Capital: $5,000

Activities MEDICAL CARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1942226220 2006-07-13 2018-02-27 PO BOX 940, ANDALUSIA, AL, 364201218, US 835 S THREE NOTCH ST, ANDALUSIA, AL, 364205321, US

Contacts
Phone +1 334-222-8421
Fax 3382221248

Authorized person
Name DR. JOHN F MADDOX
Role PRESIDENT
Phone 3342228421

Taxonomy
Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 529200490
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
THREE NOTCH MEDICAL CENTER, P.C. 401(K) PROFIT SHARING PLAN 2023 630890070 2024-08-15 THREE NOTCH MEDICAL CENTER, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621498
Sponsor’s telephone number 3342228421
Plan sponsor’s address PERSONAL AND CONFIDENTIAL 835 S THR, ANDALUSIA, AL, 364205321

Signature of
Role Plan administrator
Date 2024-08-15
Name of individual signing TERESA MADDOX
THREE NOTCH MEDICAL CENTER, P.C. 401(K) PROFIT SHARING PLAN 2022 630890070 2024-08-15 THREE NOTCH MEDICAL CENTER, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 3342228421
Plan sponsor’s address 835 S THREE NOTCH ST, ANDALUSIA, AL, 364205321

Signature of
Role Plan administrator
Date 2024-08-15
Name of individual signing TERESA MADDOX
THREE NOTCH MEDICAL CENTER, P.C. 401(K) PROFIT SHARING PLAN 2022 630890070 2023-10-13 THREE NOTCH MEDICAL CENTER, P.C. 15
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 3342228421
Plan sponsor’s address 835 S THREE NOTCH ST, ANDALUSIA, AL, 364205321

Signature of
Role Plan administrator
Date 2023-10-13
Name of individual signing TERESA MADDOX
THREE NOTCH MEDICAL CENTER, P.C. 401(K) PROFIT SHARING PLAN 2021 630890070 2022-07-21 THREE NOTCH MEDICAL CENTER, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 3342228421
Plan sponsor’s address 835 SOUTH THREE NOTCH STREET, ANDALUSIA, AL, 36420

Signature of
Role Plan administrator
Date 2022-07-21
Name of individual signing TERESA MADDOX
Role Employer/plan sponsor
Date 2022-07-21
Name of individual signing TERESA MADDOX
THREE NOTCH MEDICAL CENTER, P.C. 401(K) PROFIT SHARING PLAN 2020 630890070 2021-08-30 THREE NOTCH MEDICAL CENTER, P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 3342228421
Plan sponsor’s address 835 SOUTH THREE NOTCH STREET, ANDALUSIA, AL, 36420

Signature of
Role Plan administrator
Date 2021-08-30
Name of individual signing TERESA MADDOX
THREE NOTCH MEDICAL CENTER, P.C. 401(K) PROFIT SHARING PLAN 2019 630890070 2020-07-08 THREE NOTCH MEDICAL CENTER, P.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 3342228421
Plan sponsor’s address 835 S THREE NOTCH ST, ANDALUSIA, AL, 36420

Signature of
Role Plan administrator
Date 2020-07-08
Name of individual signing TERESA MADDOX
THREE NOTCH MEDICAL CENTER, P.C. 401(K) PROFIT SHARING PLAN 2018 630890070 2019-10-03 THREE NOTCH MEDICAL CENTER, P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 3342228421
Plan sponsor’s address 835 SOUTH THREE NOTCH STREET, ANDALUSIA, AL, 36420

Signature of
Role Plan administrator
Date 2019-10-03
Name of individual signing TERESA MADDOX
THREE NOTCH MEDICAL CENTER, P.C. 401(K) PROFIT SHARING PLAN 2017 630890070 2018-06-26 THREE NOTCH MEDICAL CENTER, P.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 3342228421
Plan sponsor’s address 835 SOUTH THREE NOTCH STREET, ANDALUSIA, AL, 36420

Signature of
Role Plan administrator
Date 2018-06-26
Name of individual signing TERESA MADDOX
THREE NOTCH MED CENTER 401K PS PLAN 2016 630890070 2017-06-19 THREE NOTCH MEDICAL CENTER, P.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 3342228421
Plan sponsor’s address 835 S THREE NOTCH ST, ANDALUSIA, AL, 36420

Signature of
Role Plan administrator
Date 2017-06-19
Name of individual signing TERESA MADDOX
THREE NOTCH MED CENTER 401K PS PLAN 2015 630890070 2016-06-20 THREE NOTCH MEDICAL CENTER, P.C. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 3342228421
Plan sponsor’s address 835 S THREE NOTCH ST, ANDALUSIA, AL, 36420

Signature of
Role Plan administrator
Date 2016-06-20
Name of individual signing JOHN MADDOX

Agent

Name Role
MADDOX, J F Agent

Incorporator

Name Role
JOHNSON, J W Incorporator
MADDOX, J F Incorporator

Related by officers

MADDOX, J F

Southern Hospice, Inc. Three Notch Rural Health, Inc.

JOHNSON, J W

Sun Line Communications, Inc. Johnson Mer Co. Mr. Silk's Private Club, Inc. North Alabama Industrial Development Association, Inc. Rex Landscape and Engineering Company Shelby-Hill Oil & Development Co. Southern Alabama Orchard Company Valley Home Loan Corporation Liberty Hill Baptist Church L. W. Johnson & Associates, Inc.

Related by address

ANDALUSIA, AL

Andalusia Development Company Andalusia Farmers Cooperative, Inc. Andalusia Manufacturing Co. Andy Electric Company Benson & Co., Inc. Briarhills Stables, Inc. City Drug Store, Inc. Clark Trailer Service, Inc. Club Apartments, Inc. First Alabama Bank of Covington County

835 SOUTH THREE NOTCH STANDALUSIA, AL 36420

Three Notch Rural Properties, L.L.C. Maddox Family Home Properties, L.L.C. Maddox Family Farm Properties, L.L.C. Three Notch Medical Properties, L.L.C.

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State

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