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Craddock Health Center, P.C.

Details

Name: Craddock Health Center, P.C.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 01 Jul 1988 (36 years ago) (Companies founded in July 1988)
Entity Number: 000-124-967
Register Number: 000124967
ZIP code: 35150 (Companies in Talladega, 35150)
County: Talladega
Place of Formation: Talladega County
Principal Address: SYLACAUGA, AL
Registered Office Street Address: 8 W HICKORY STSYLACAUGA, AL 35150
Authorized Capital: $20,000

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1184669483 2006-06-19 2008-05-07 209 W SPRING ST, SUITE 200, SYLACAUGA, AL, 351502973, US 209 W SPRING ST, SUITE 200, SYLACAUGA, AL, 351502973, US

Contacts
Phone +1 256-245-5241
Fax 2562450194

Authorized person
Name MRS. DONNA B HERNANDEZ
Role OFFICE MANAGER
Phone 2562455241

Taxonomy
Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CRADDOCK HEALTH CENTER, P.C. 401(K) PLAN 2012 630981314 2013-05-28 CRADDOCK HEALTH CENTER, P.C. 24
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2562455241
Plan sponsor’s mailing address 209 WEST SPRING STREET, SUITE 200, SYLACAUGA, AL, 35150
Plan sponsor’s address 209 WEST SPRING STREET, SUITE 200, SYLACAUGA, AL, 35150

Plan administrator’s name and address
Administrator’s EIN 630981314
Plan administrator’s name CRADDOCK HEALTH CENTER, P.C.
Plan administrator’s address 209 WEST SPRING STREET, SUITE 200, SYLACAUGA, AL, 35150
Administrator’s telephone number 2562455241

Number of participants as of the end of the plan year
Active participants 29
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 2
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 28
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 2013-05-28
Name of individual signing LAURA DEICHMANN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-05-28
Name of individual signing LAURA DEICHMANN
Valid signature Filed with authorized/valid electronic signature
CRADDOCK HEALTH CENTER, P.C. 401(K) PLAN 2011 630981314 2012-11-16 CRADDOCK HEALTH CENTER, P.C. 28
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 621111
Plan sponsor’s mailing address 209 WEST SPRING STREET, SUITE 200, SYLACAUGA, AL, 35150
Plan sponsor’s address 209 WEST SPRING STREET, SUITE 200, SYLACAUGA, AL, 35150

Plan administrator’s name and address
Administrator’s EIN 630981314
Plan administrator’s name CRADDOCK HEALTH CENTER, P.C.
Plan administrator’s address 209 WEST SPRING STREET, SUITE 200, SYLACAUGA, AL, 35150

Number of participants as of the end of the plan year
Active participants 24
Other retired or separated participants entitled to future benefits 4
Number of participants with account balances as of the end of the plan year 28

Signature of
Role Plan administrator
Date 2012-06-15
Name of individual signing STEPHEN BOWEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-15
Name of individual signing STEPHEN BOWEN
Valid signature Filed with authorized/valid electronic signature
CRADDOCK HEALTH CENTER, P.C. 401(K) PLAN 2011 630981314 2012-07-13 CRADDOCK HEALTH CENTER, P.C. 28
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 621111
Plan sponsor’s mailing address 209 WEST SPRING STREET, SUITE 200, SYLACAUGA, AL, 35150
Plan sponsor’s address 209 WEST SPRING STREET, SUITE 200, SYLACAUGA, AL, 35150

Plan administrator’s name and address
Administrator’s EIN 630981314
Plan administrator’s name CRADDOCK HEALTH CENTER, P.C.
Plan administrator’s address 209 WEST SPRING STREET, SUITE 200, SYLACAUGA, AL, 35150

Number of participants as of the end of the plan year
Active participants 24
Other retired or separated participants entitled to future benefits 4
Number of participants with account balances as of the end of the plan year 28

Signature of
Role Plan administrator
Date 2012-06-15
Name of individual signing STEPHEN BOWEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2012-06-15
Name of individual signing STEPHEN BOWEN
Valid signature Filed with authorized/valid electronic signature
CRADDOCK HEALTH CENTER, P.C. 401(K) PLAN 2010 630981314 2011-07-19 CRADDOCK HEALTH CENTER, P.C. 29
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 621111
Plan sponsor’s mailing address 209 WEST SPRING STREET, SUITE 200, SYLACAUGA, AL, 35150
Plan sponsor’s address 209 WEST SPRING STREET, SUITE 200, SYLACAUGA, AL, 35150

Plan administrator’s name and address
Administrator’s EIN 630981314
Plan administrator’s name CRADDOCK HEALTH CENTER, P.C.
Plan administrator’s address 209 WEST SPRING STREET, SUITE 200, SYLACAUGA, AL, 35150

Number of participants as of the end of the plan year
Active participants 24
Other retired or separated participants entitled to future benefits 4
Number of participants with account balances as of the end of the plan year 28

Signature of
Role Plan administrator
Date 2011-07-31
Name of individual signing STEPHEN BOWEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2011-07-31
Name of individual signing STEPHEN BOWEN
Valid signature Filed with authorized/valid electronic signature
CRADDOCK HEALTH CENTER, P.C. 401K PLAN 2009 630981314 2010-07-29 CRADDOCK HEALTH CENTER, P.C. 30
File View Page
Three-digit plan number (PN) 003
Effective date of plan 2002-01-01
Business code 621111
Plan sponsor’s mailing address 209 WEST SPRING STREET, SUITE 200, SYLACAUGA, AL, 35150
Plan sponsor’s address 209 WEST SPRING STREET, SUITE 200, SYLACAUGA, AL, 35150

Plan administrator’s name and address
Administrator’s EIN 630981314
Plan administrator’s name CRADDOCK HEALTH CENTER, P.C.
Plan administrator’s address 209 WEST SPRING STREET, SUITE 200, SYLACAUGA, AL, 35150

Number of participants as of the end of the plan year
Other retired or separated participants entitled to future benefits 8

Signature of
Role Plan administrator
Date 2010-07-20
Name of individual signing STEPHEN BOWEN
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-07-20
Name of individual signing STEPHEN BOWEN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
FRIDAY, WILLIAM C JR Agent

Incorporator

Name Role
BAILEY, JULIUS S JR Incorporator
FRIDAY, WILLIAM C Incorporator
PINSON, WALTER P III MD Incorporator
WRIGHT, JAMES G JR MD Incorporator
JENKINS, DAVID R MD Incorporator
CROOK, JAMES L MD Incorporator
GAMMON, WILLIAM R MD Incorporator
THOMPSON, JOHN L JR MD Incorporator
BOWEN, STEPHEN R MD Incorporator

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Related by address

SYLACAUGA, AL

Academy Van Lines, Inc. Allen Oil Company of Sylacauga, Inc. Arnold Realty and Mortgage Company, Incorporated Bama Office Supply Inc. Brown Brothers, Inc. of Sylacauga, Alabama BIAC, Inc. Central Land Company, Inc. City Tire Company of Sylacauga, Inc. Coosa Valley Insurance Agency of Sylacauga Deupree of Sylacauga, Inc.

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State

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