South Central Medical Center, P.C.

Details

Name:	South Central Medical Center, P.C.
Jurisdiction:	Alabama
Legal type:	Domestic Corporation
Status:	Exists
Date of registration:	02 Nov 1992 (32 years ago) (Companies founded in November 1992)
Entity Number:	000-152-926
Register Number:	000152926
ZIP code:	36652 (Companies in Mobile, 36652)
County:	Mobile
Place of Formation:	Mobile County
Registered Office Street Address:	ONE ST LOUIS CENTRE STE 1000MOBILE, AL 36652
Authorized Capital:	$1,000

Activities INTERNAL & FAMILY MEDICINE

National Provider Identifier

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1336341072

2007-06-04

2020-08-22

843 S THREE NOTCH ST, ANDALUSIA, AL, 364205321, US

843 S THREE NOTCH ST, ANDALUSIA, AL, 364205321, US

Contacts

Phone	+1 334-222-8525
Fax	3342223469

Authorized person

Name	DR. REX ALLEN BUTLER
Role	PRESIDENT
Phone	3342228525

Taxonomy

Taxonomy Code	207R00000X - Internal Medicine Physician
License Number	00009991
State	AL
Is Primary	Yes

Other Provider Identifiers

Issuer	BLUE CROSS PROVIDER NUMBE
Number	510-10420
State	AL

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

SOUTH CENTRAL MEDICAL CENTER, P.C. 401(K) PROFIT SHARING PLAN

2023

631078588

2024-10-14

SOUTH CENTRAL MEDICAL CENTER, P.C.

21

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1995-01-01
Business code	621111
Sponsor’s telephone number	3342228525
Plan sponsor’s address	843 SOUTH THREE NOTCH STREET, ANDALUSIA, AL, 36420

SOUTH CENTRAL MEDICAL CENTER, P.C. 401(K) PROFIT SHARING PLAN

2022

631078588

2023-10-10

SOUTH CENTRAL MEDICAL CENTER, P.C.

20

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1995-01-01
Business code	621111
Sponsor’s telephone number	3342228525
Plan sponsor’s address	843 SOUTH THREE NOTCH STREET, ANDALUSIA, AL, 36420

SOUTH CENTRAL MEDICAL CENTER, P.C. 401(K) PROFIT SHARING PLAN

2021

631078588

2022-04-18

SOUTH CENTRAL MEDICAL CENTER, P.C.

22

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1995-01-01
Business code	621111
Sponsor’s telephone number	3342228525
Plan sponsor’s address	843 SOUTH THREE NOTCH STREET, ANDALUSIA, AL, 36420

SOUTH CENTRAL MEDICAL CENTER, P.C. 401(K) PROFIT SHARING PLAN

2020

631078588

2021-06-24

SOUTH CENTRAL MEDICAL CENTER, P.C.

21

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1995-01-01
Business code	621111
Sponsor’s telephone number	3342228525
Plan sponsor’s address	843 SOUTH THREE NOTCH STREET, ANDALUSIA, AL, 36420

SOUTH CENTRAL MEDICAL CENTER, P.C. 401(K) PROFIT SHARING PLAN

2019

631078588

2020-08-12

SOUTH CENTRAL MEDICAL CENTER, P.C.

20

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1995-01-01
Business code	621111
Sponsor’s telephone number	3342228525
Plan sponsor’s address	843 SOUTH THREE NOTCH STREET, ANDALUSIA, AL, 36420

SOUTH CENTRAL MEDICAL CENTER, P.C. 401(K) PROFIT SHARING PLAN

2018

631078588

2019-07-22

SOUTH CENTRAL MEDICAL CENTER, P.C.

20

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1995-01-01
Business code	621111
Sponsor’s telephone number	3342228525
Plan sponsor’s address	843 SOUTH THREE NOTCH STREET, ANDALUSIA, AL, 36420

SOUTH CENTRAL MEDICAL CENTER, P.C. 401(K) PROFIT SHARING PLAN

2017

631078588

2018-10-15

SOUTH CENTRAL MEDICAL CENTER, P.C.

20

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1995-01-01
Business code	621111
Sponsor’s telephone number	3342228525
Plan sponsor’s address	843 SOUTH THREE NOTCH STREET, ANDALUSIA, AL, 36420

SOUTH CENTRAL MEDICAL CENTER, P.C. 401(K) PROFIT SHARING PLAN

2016

631078588

2017-08-17

SOUTH CENTRAL MEDICAL CENTER, P.C.

20

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1995-01-01
Business code	621111
Sponsor’s telephone number	3342228525
Plan sponsor’s address	843 SOUTH THREE NOTCH STREET, ANDALUSIA, AL, 36420

SOUTH CENTRAL MEDICAL CENTER, P.C. 401(K) PROFIT SHARING PLAN

2015

631078588

2016-10-12

SOUTH CENTRAL MEDICAL CENTER, P.C.

29

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1995-01-01
Business code	621111
Sponsor’s telephone number	3342228525
Plan sponsor’s address	843 SOUTH THREE NOTCH STREET, ANDALUSIA, AL, 36420

SOUTH CENTRAL MEDICAL CENTER, P.C. 401(K) PROFIT SHARING PLAN

2014

631078588

2015-07-29

SOUTH CENTRAL MEDICAL CENTER, P.C.

28

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	1995-01-01
Business code	621111
Sponsor’s telephone number	3342228525
Plan sponsor’s address	843 SOUTH THREE NOTCH STREET, ANDALUSIA, AL, 36420

Signature of

Role	Plan administrator
Date	2015-07-29
Name of individual signing	REX A. BUTLER

Agent

Name	Role	Address
JUSTICE, SHIRLEY M	Agent	ONE ST. LOUIS CENTRE, SUITE 1000MOBILE, AL 36602-3960

Incorporator

Name	Role
BUTLER, REX A MD	Incorporator

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State