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Springhill Emergency Physicians, P.C.

Details

Name: Springhill Emergency Physicians, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 20 Nov 1990 (34 years ago)
Entity Number: 000-140-111
Register Number: 000140111
Historical Names: West Mobile Emergency Physicians, P.C.
County: Mobile
Place of Formation: Mobile County
Principal Address: MOBILE, AL
Registered Office Street Address: 3723 DAUPHIN STREET STE 3MOBILE, AL 36608
Registered Office Street Address ZIP Code: 36608
Authorized Capital: $5,000
Paid Share Capital: $1,200

Activities PROFESSIONAL MEDICAL SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1558399105 2006-06-30 2019-11-20 PO BOX 10179, WESTMINSTER, CA, 926850179, US 3719 DAUPHIN ST, MOBILE, AL, 366081753, US

Contacts
Phone +1 562-468-0227
Fax 5629245830
Phone +1 251-460-5333

Authorized person
Name MICHAEL BINDON
Role DIRECTOR
Phone 9044211983

Taxonomy
Taxonomy Code 207P00000X - Emergency Medicine Physician
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 123270
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SPRINGHILL EMERGENCY PHYSICIANS, P.C. 401(K) PLAN 2023 631034885 2024-04-30 SPRINGHILL EMERGENCY PHYSICIANS, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2513000689
Plan sponsor’s address 323 WHITING COURT, DAPHNE, AL, 36526

Signature of
Role Plan administrator
Date 2024-04-30
Name of individual signing CHAD VANDERHEYDEN
SPRINGHILL EMERGENCY PHYSICIANS, P.C. 401(K) PLAN 2022 631034885 2023-06-21 SPRINGHILL EMERGENCY PHYSICIANS, P.C. 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2513000689
Plan sponsor’s address 323 WHITING COURT, DAPHNE, AL, 36526

Signature of
Role Plan administrator
Date 2023-06-21
Name of individual signing CHAD VANDERHEYDEN
SPRINGHILL EMERGENCY PHYSICIANS, P.C. 401(K) PLAN 2021 631034885 2022-10-14 SPRINGHILL EMERGENCY PHYSICIANS, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1995-01-01
Business code 621111
Sponsor’s telephone number 2513000689
Plan sponsor’s address 323 WHITING COURT, DAPHNE, AL, 36526

Signature of
Role Plan administrator
Date 2022-10-14
Name of individual signing CHAD VANDERHEYDEN
SPRINGHILL EMERGENCY PHYSICIANS, P.C. CASH BALANCE PLAN FINAL 2020 631034885 2021-10-06 SPRINGHILL EMERGENCY PHYSICIANS, P.C. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 2514605333
Plan sponsor’s address 102 ASHTON COURT, FAIRHOPE, AL, 36532

Signature of
Role Plan administrator
Date 2021-10-06
Name of individual signing CHAD VANDERHEYDEN
SPRINGHILL EMERGENCY PHYSICIANS, P.C. CASH BALANCE PLAN 2020 631034885 2021-10-06 SPRINGHILL EMERGENCY PHYSICIANS, P.C. 11
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 2514605333
Plan sponsor’s address 102 ASHTON COURT, FAIRHOPE, AL, 36532

Signature of
Role Plan administrator
Date 2021-10-06
Name of individual signing CHAD VANDERHEYDEN
SPRINGHILL EMERGENCY PHYSICIANS, P.C. CASH BALANCE PLAN 2019 631034885 2020-05-01 SPRINGHILL EMERGENCY PHYSICIANS, P.C. 14
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 2514605333
Plan sponsor’s address 3719 DAUPHIN STREET, MOBILE, AL, 36619

Signature of
Role Plan administrator
Date 2020-05-01
Name of individual signing THOMAS VANDERHEYDEN
Role Employer/plan sponsor
Date 2020-05-01
Name of individual signing THOMAS VANDERHEYDEN
SPRINGHILL EMERGENCY PHYSICIANS, P.C. CASH BALANCE PLAN 2018 631034885 2019-04-17 SPRINGHILL EMERGENCY PHYSICIANS, P.C. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2018-01-01
Business code 621111
Sponsor’s telephone number 2514605333
Plan sponsor’s address 3719 DAUPHIN STREET, MOBILE, AL, 36619

Signature of
Role Plan administrator
Date 2019-04-17
Name of individual signing THOMAS VANDERHEYDEN
Role Employer/plan sponsor
Date 2019-04-17
Name of individual signing THOMAS VANDERHEYDEN

Agent

Name Role
GOODLOE, TRAVIS B DR Agent

Incorporator

Name Role
GOODLOE, TRAVIS B DR Incorporator
ENNIS, CECIL L DR Incorporator
KELLY, JESSIE P DR Incorporator
ALSIP, JORGE A DR Incorporator
MCMAHON, JOHN M JR DR Incorporator

Events

Event Date Event Type Old Value New Value
1991-09-18 Name Change West Mobile Emergency Physicians, P.C. Springhill Emergency Physicians, P.C.

Related by officers

No related officers

Related by address

MOBILE, AL

A-1 Fence-Craft of America, Inc. AAA Air & Hydraulics of Mobile, Inc. AAA Furniture Warehouse Co., Inc. Bradco, Inc. AAP Distributors, Inc. ABC Comfort, Inc. A B C Fence Industries, Inc. A-C Contracting Company, Inc. AEU Claims, Inc. A G R Co., Incorporated

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State

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