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Avalon Medical Group, P.C.

Details

Name: Avalon Medical Group, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 04 Apr 1985 (40 years ago)
Entity Number: 000-103-219
Register Number: 000103219
Historical Names: Ronald W. McCoy, M.D., P.C.
Avalon Medical Center, P.C.
County: Colbert
Place of Formation: Colbert County
Registered Office Street Address: 505 NORTH COLUMBIASHEFFIELD, AL 35660
Registered Office Street Address ZIP Code: 35660
Authorized Capital: $1,000

Activities MEDICAL SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1659139772 2024-03-12 2024-03-12 PO BOX 2550, MUSCLE SHOALS, AL, 356622550, US 2410 AVALON AVE, MUSCLE SHOALS, AL, 356613283, US

Contacts
Phone +1 256-386-0808
Fax 2563818501
Fax 2563898904

Authorized person
Name LOREN E MCCOY
Role PRESIDENT
Phone 2563860808

Taxonomy
Taxonomy Code 103TC0700X - Clinical Psychologist
Is Primary No
Taxonomy Code 133V00000X - Registered Dietitian
Is Primary No
Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary No
Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
AVALON MEDICAL CENTER, P.C. PROFIT SHARING 401K PLAN 2022 630895841 2024-03-14 AVALON MEDICAL CENTER, P.C. 84
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-04-01
Business code 621111
Sponsor’s telephone number 2563860808
Plan sponsor’s address 2410 AVALON AVENUE, MUSCLE SHOALS, AL, 356613167

Plan administrator’s name and address
Administrator’s EIN 630895841
Plan administrator’s name AVALON MEDICAL CENTER, P.C.
Plan administrator’s address 2410 AVALON AVENUE, MUSCLE SHOALS, AL, 356613167
Administrator’s telephone number 2563860808
AVALON MEDICAL CENTER, P.C. PROFIT SHARING 401K PLAN 2021 630895841 2023-05-23 AVALON MEDICAL CENTER, P.C. 66
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-04-01
Business code 621111
Sponsor’s telephone number 2053860284
Plan sponsor’s address 2410 AVALON AVENUE, MUSCLE SHOALS, AL, 356613167

Plan administrator’s name and address
Administrator’s EIN 630895841
Plan administrator’s name AVALON MEDICAL CENTER, P.C.
Plan administrator’s address 2410 AVALON AVENUE, MUSCLE SHOALS, AL, 356613167
Administrator’s telephone number 2053860284
AVALON MEDICAL CENTER, P.C. PROFIT SHARING 401K PLAN 2020 630895841 2022-05-13 AVALON MEDICAL CENTER, P.C. 69
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-04-01
Business code 621111
Sponsor’s telephone number 2053860284
Plan sponsor’s address 2410 AVALON AVENUE, MUSCLE SHOALS, AL, 356613167

Plan administrator’s name and address
Administrator’s EIN 630895841
Plan administrator’s name AVALON MEDICAL CENTER, P.C.
Plan administrator’s address 2410 AVALON AVENUE, MUSCLE SHOALS, AL, 356613167
Administrator’s telephone number 2053860284
AVALON MEDICAL CENTER, P.C. PROFIT SHARING 401K PLAN 2019 630895841 2021-03-26 AVALON MEDICAL CENTER, P.C. 61
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-04-01
Business code 621111
Sponsor’s telephone number 2053860284
Plan sponsor’s address 2410 AVALON AVENUE, MUSCLE SHOALS, AL, 356613167

Plan administrator’s name and address
Administrator’s EIN 630895841
Plan administrator’s name AVALON MEDICAL CENTER, P.C.
Plan administrator’s address 2410 AVALON AVENUE, MUSCLE SHOALS, AL, 356613167
Administrator’s telephone number 2053860284
AVALON MEDICAL CENTER, P.C. PROFIT SHARING 401K PLAN 2018 630895841 2020-03-05 AVALON MEDICAL CENTER, P.C. 58
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-04-01
Business code 621111
Sponsor’s telephone number 2053860284
Plan sponsor’s address 2400 E. AVALON AVE STE C, MUSCLE SHOALS, AL, 356613167

Plan administrator’s name and address
Administrator’s EIN 630895841
Plan administrator’s name AVALON MEDICAL CENTER, P.C.
Plan administrator’s address 2400 E. AVALON AVE STE C, MUSCLE SHOALS, AL, 356613167
Administrator’s telephone number 2053860284
AVALON MEDICAL CENTER, P.C. PROFIT SHARING 401K PLAN 2017 630895841 2019-03-20 AVALON MEDICAL CENTER, P.C. 59
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-04-01
Business code 621111
Sponsor’s telephone number 2053860284
Plan sponsor’s address 2400 E. AVALON AVE STE C, MUSCLE SHOALS, AL, 356613167

Plan administrator’s name and address
Administrator’s EIN 630895841
Plan administrator’s name AVALON MEDICAL CENTER, P.C.
Plan administrator’s address 2400 E. AVALON AVE STE C, MUSCLE SHOALS, AL, 356613167
Administrator’s telephone number 2053860284
AVALON MEDICAL CENTER, P.C. PROFIT SHARING 401K PLAN 2016 630895841 2018-03-22 AVALON MEDICAL CENTER, P.C. 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-04-01
Business code 621111
Sponsor’s telephone number 2053860284
Plan sponsor’s address 2400 E. AVALON AVE STE C, MUSCLE SHOALS, AL, 356613167

Plan administrator’s name and address
Administrator’s EIN 630895841
Plan administrator’s name AVALON MEDICAL CENTER, P.C.
Plan administrator’s address 2400 E. AVALON AVE STE C, MUSCLE SHOALS, AL, 356613167
Administrator’s telephone number 2053860284
AVALON MEDICAL CENTER, P.C. PROFIT SHARING 401K PLAN 2015 630895841 2017-03-28 AVALON MEDICAL CENTER, P.C. 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-04-01
Business code 621111
Sponsor’s telephone number 2053860284
Plan sponsor’s address 2400 E. AVALON AVE STE C, MUSCLE SHOALS, AL, 356613167

Plan administrator’s name and address
Administrator’s EIN 630895841
Plan administrator’s name AVALON MEDICAL CENTER, P.C.
Plan administrator’s address 2400 E. AVALON AVE STE C, MUSCLE SHOALS, AL, 356613167
Administrator’s telephone number 2053860284
AVALON MEDICAL CENTER, P.C. PROFIT SHARING 401K PLAN 2014 630895841 2016-04-04 AVALON MEDICAL CENTER, P.C. 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-04-01
Business code 621111
Sponsor’s telephone number 2053860284
Plan sponsor’s address 2400 E. AVALON AVE STE C, MUSCLE SHOALS, AL, 356613167

Plan administrator’s name and address
Administrator’s EIN 630895841
Plan administrator’s name AVALON MEDICAL CENTER, P.C.
Plan administrator’s address 2400 E. AVALON AVE STE C, MUSCLE SHOALS, AL, 356613167
Administrator’s telephone number 2053860284
AVALON MEDICAL CENTER, P.C. PROFIT SHARING 401K PLAN 2013 630895841 2015-06-09 AVALON MEDICAL CENTER, P.C. 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-04-01
Business code 621111
Sponsor’s telephone number 2053860284
Plan sponsor’s address 2400 E. AVALON AVE STE C, MUSCLE SHOALS, AL, 356613167

Plan administrator’s name and address
Administrator’s EIN 630895841
Plan administrator’s name AVALON MEDICAL CENTER, P.C.
Plan administrator’s address 2400 E. AVALON AVE STE C, MUSCLE SHOALS, AL, 356613167
Administrator’s telephone number 2053860284

Signature of
Role Plan administrator
Date 2015-06-09
Name of individual signing RONALD W. MCCOY

Agent

Name Role
MCCOY, RONALD W Agent

Director

Name Role Address
MCCOY, LOREN E Director 2511 LAKEVIEW DRIVEMUSCLE SHOALS, AL 35661

Incorporator

Name Role
MCCOY, RONALD W MD Incorporator

Events

Event Date Event Type Old Value New Value
2018-08-09 Name Change Avalon Medical Center, P.C. Avalon Medical Group, P.C.
2018-08-09 Capital Change $1,000 Authorized --- Paid In $1,000 Authorized undefined Paid In
1993-03-02 Name Change Ronald W. McCoy, M.D., P.C. Avalon Medical Center, P.C.

Related by officers

MCCOY, RONALD W

Medical Clinic of the Shoals, P.C. Kaylee, Inc. McCoy Condominiums, LLc Shoals Medical Plaza, LLC Martin, Aycock & McCoy Properties, LLC McCoy-Aycock Properties, LLC Avalon Aviation, LLC

MCCOY, LOREN E

McCoy Condominiums, LLc Avalon Physicians Investments, LLC LEM Properties, LLC

MCCOY, RONALD W MD

MARITIME MEDICAL AND SAFETY SUPPLY, INC.

Related by address

505 NORTH COLUMBIASHEFFIELD, AL 35660

Martin Orthopedic Clinic, P.C. Marc R. Michaud, M.D., P.C.

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State

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