Name: | Rheumatology Associates of North Alabama, P.C. |
Jurisdiction: | Alabama |
Legal type: | Domestic Professional Corporation |
Status: | Exists |
Date of registration: | 01 Aug 1985 (39 years ago) |
Entity Number: | 000-105-279 |
Register Number: | 000105279 |
County: | Madison |
Place of Formation: | Madison County |
Principal Address: | HUNTSVILLE, AL |
Registered Office Street Address: | 410 LOWELL DR SEHUNTSVILLE, AL 35801 |
Registered Office Street Address ZIP Code: | 35801 |
Authorized Capital: | $5,000 |
Activities
PHYSICIAN
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
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1518991546 | 2006-07-10 | 2023-09-11 | 1120 S JACKSON HWY STE 205, SHEFFIELD, AL, 356605773, US | 1120 S JACKSON HWY STE 205, SHEFFIELD, AL, 356605773, US | |||||||||||||||||||||||
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Phone | +1 256-767-6263 |
Fax | 2567674583 |
Authorized person
Name | MS. CONNIE FRANCES DUFOUR |
Role | PHYSICIAN CREDENTIALER |
Phone | 2567047040 |
Taxonomy
Taxonomy Code | 207RR0500X - Rheumatology Physician |
State | AL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 529702140 |
State | AL |
Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||||||||||
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RHEUMATOLOGY ASSOCIATES OF NORTH ALABAMA, PC 401(K) PLAN | 2016 | 630907980 | 2017-03-01 | RHEUMATOLOGY ASSOCIATES OF NORTH ALABAMA, P.C. | 71 | |||||||||||||||||||||||||||||||||||||||||||||
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RHEUMATOLOGY ASSOCIATES OF NORTH ALABAMA, PC 401(K) PLAN | 2015 | 630907980 | 2016-07-19 | RHEUMATOLOGY ASSOCIATES OF NORTH ALABAMA, P.C. | 72 | |||||||||||||||||||||||||||||||||||||||||||||
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RHEUMATOLOGY ASSOCIATES OF NORTH ALABAMA, P.C. 401(K) PROFIT SHARING PLAN | 2009 | 630907980 | 2010-10-14 | RHEUMATOLOGY ASSOCIATES OF NORTH ALABAMA | 38 | |||||||||||||||||||||||||||||||||||||||||||||
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Administrator’s EIN | 630907980 |
Plan administrator’s name | JANE BROWN |
Plan administrator’s address | 201 SIVLEY ROAD, SUITE 600, HUNTSVILLE, AL, 35801 |
Administrator’s telephone number | 2565516510 |
Number of participants as of the end of the plan year
Active participants | 39 |
Retired or separated participants receiving benefits | 0 |
Other retired or separated participants entitled to future benefits | 0 |
Deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 0 |
Number of participants with account balances as of the end of the plan year | 39 |
Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 0 |
Signature of
Role | Plan administrator |
Date | 2010-10-14 |
Name of individual signing | JANE BROWN |
Valid signature | Filed with authorized/valid electronic signature |
Name | Role |
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PHILLIPS, R MACON JR MD | Agent |
Name | Role |
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PHILLIPS, R MACON JR MD | Incorporator |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State