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Hearts South, P.C.

Details

Name: Hearts South, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 01 Aug 1988 (36 years ago)
Entity Number: 000-125-592
Register Number: 000125592
Historical Names: Allan Schwadron, MD, FACC, P.C.
County: Houston
Place of Formation: Houston County
Principal Address: DOTHAN, AL
Registered Office Street Address: 1150 ROSS CLARK CIRCLE SEDOTHAN, AL 36301
Registered Office Street Address ZIP Code: 36301
Authorized Capital: $120

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1790987238 2007-06-05 2010-12-01 1118 ROSS CLARK CIR, SUITE 403, DOTHAN, AL, 363013001, US 1118 ROSS CLARK CIR, SUITE 403, DOTHAN, AL, 363013001, US

Contacts
Phone +1 334-793-5672
Fax 3347940378

Authorized person
Name MRS. DONNA L TRIMNEL
Role ADMINISTRATOR
Phone 3347935672

Taxonomy
Taxonomy Code 207RC0000X - Cardiovascular Disease Physician
License Number 207RC0000X
State AL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 529301920
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HEARTS SOUTH, P.C. 401(K) PLAN 2023 630980505 2024-08-01 HEARTS SOUTH, P.C. 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 3347935672
Plan sponsor’s address 1118 ROSS CLARK CIRLE, STE 403, DOTHAN, AL, 36301
HEARTS SOUTH, P.C. 401(K) PLAN 2022 630980505 2024-04-08 HEARTS SOUTH, P.C. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 3347935672
Plan sponsor’s address 1118 ROSS CLARK CIRCLE, SUITE 403, DOTHAN, AL, 36301

Signature of
Role Plan administrator
Date 2024-04-08
Name of individual signing DONNA TRIMNEL
HEARTS SOUTH, P.C. 401(K) PLAN 2021 630980505 2022-12-13 HEARTS SOUTH, P.C. 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 3347935672
Plan sponsor’s address 1118 ROSS CLARK CIRCLE, SUITE 403, DOTHAN, AL, 36301

Signature of
Role Plan administrator
Date 2022-12-13
Name of individual signing DONNA TRIMNEL
Role Employer/plan sponsor
Date 2022-12-13
Name of individual signing DARIUS ALIABADI
HEARTS SOUTH, P.C. 401(K) PLAN 2020 630980505 2021-09-16 HEARTS SOUTH, P.C. 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 3347935672
Plan sponsor’s address 1118 ROSS CLARK CIRCLE, SUITE 403, DOTHAN, AL, 36301

Signature of
Role Plan administrator
Date 2021-09-16
Name of individual signing DONNA TRIMNEL
HEARTS SOUTH, P.C. 401(K) PLAN 2019 630980505 2020-10-08 HEARTS SOUTH, P.C. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 3347935672
Plan sponsor’s address 1118 ROSS CLARK CIRCLE, SUITE 403, DOTHAN, AL, 36301

Signature of
Role Plan administrator
Date 2020-10-08
Name of individual signing DONNA L TRIMNEL
Role Employer/plan sponsor
Date 2020-10-08
Name of individual signing DONNA L TRIMNEL
HEARTS SOUTH, P.C. 401(K) PLAN 2018 630980505 2019-10-14 HEARTS SOUTH, P.C. 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 3347935672
Plan sponsor’s address 1118 ROSS CLARK CIRCLE, SUITE 403, DOTHAN, AL, 36301

Signature of
Role Plan administrator
Date 2019-10-14
Name of individual signing DONNA L TRIMNEL
Role Employer/plan sponsor
Date 2019-10-14
Name of individual signing DONNA L TRIMNEL
HEARTS SOUTH, P.C. 401(K) PLAN 2017 630980505 2018-10-05 HEARTS SOUTH, P.C. 35
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 3347935672
Plan sponsor’s address 1118 ROSS CLARK CIRCLE, SUITE 403, DOTHAN, AL, 36301

Signature of
Role Plan administrator
Date 2018-10-05
Name of individual signing DONNA L TRIMNEL
HEARTS SOUTH, P.C. 401(K) PLAN 2016 630980505 2017-09-25 HEARTS SOUTH, P.C. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 3347935672
Plan sponsor’s address 1118 ROSS CLARK CIRCLE, SUITE 403, DOTHAN, AL, 36301

Signature of
Role Plan administrator
Date 2017-09-25
Name of individual signing DONNA L TRIMNEL
Role Employer/plan sponsor
Date 2017-09-25
Name of individual signing DONNA L TRIMNEL
HEARTS SOUTH, P.C. 401(K) PLAN 2015 630980505 2016-10-12 HEARTS SOUTH, P.C. 32
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 3347935672
Plan sponsor’s address 1118 ROSS CLARK CIRCLE, SUITE 403, DOTHAN, AL, 36301

Signature of
Role Plan administrator
Date 2016-10-12
Name of individual signing DONNA L. TRIMNEL
HEARTS SOUTH, P.C. 401(K) PLAN 2014 630980505 2015-10-01 HEARTS SOUTH, P.C. 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1989-01-01
Business code 621111
Sponsor’s telephone number 3347935672
Plan sponsor’s address 1118 ROSS CLARK CIRCLE, SUITE 403, DOTHAN, AL, 36301

Signature of
Role Plan administrator
Date 2015-10-01
Name of individual signing DONNA TRIMNEL

Agent

Name Role
SCHWADRON, ALLAN MD Agent

Incorporator

Name Role
SCHWADRON, ALLAN MD Incorporator

Events

Event Date Event Type Old Value New Value
1993-06-11 Name Change Allan Schwadron, MD, FACC, P.C. Hearts South, P.C.

Awards

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
PURCHASE ORDER AWARD DJBP0308KVB231268 2011-09-14 2011-09-14 2011-09-30
Unique Award Key CONT_AWD_DJBP0308KVB231268_1540_-NONE-_-NONE-
Awarding Agency Department of Justice
Link View Page

Award Amounts
Obligated Amount 6218.00
Current Award Amount 6218.00
Potential Award Amount 6218.00

Description
Title MEDICAL TREATMENT
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q502: CARDIO-VASCULAR SERVICES

Recipient Details
Recipient HEARTS SOUTH PC
UEI K2L4K8AHJXS9
Recipient Address UNITED STATES, 1118 ROSS CLARK CIR #403, DOTHAN, HOUSTON, ALABAMA, 363013038

Related by officers

SCHWADRON, ALLAN MD

Southeast Heart Center, Inc.

Related by address

DOTHAN, AL

A & M Electrical Construction Co., Inc. Acme Auction Company of Dothan, Inc. Acme Lease-A-Car, Inc. Acme Roofing and Sheet Metal Company, Inc. Adams Foods, Inc. Adams Trading Center Alabama Electric Company, Inc. of Dothan Art & Craft Hut, Inc. Southeastern Cabinet Co., Inc. Auto Electric Company of Alabama, Incorporated

1150 ROSS CLARK CIRCLE SEDOTHAN, AL 36301

Southeast Heart Research and Education Foundation, Inc. Southeast Heart Center, Inc. Garrison G. Watts, Jr., MD, FACC, P.C. D. Bryan Young, MD, FACS, P.C. Cardiology Consultants of the Southeast, P.C. Nelson S. Gwinn, III, M.D., P.C. James A. Hearn, M.D., P.C. Nidal Yunis, M.D., P.C. GYC Company - One, L.L.P.

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State

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