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Baldwin Emergency Physicians, P.C.

Details

Name: Baldwin Emergency Physicians, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 20 Dec 1993 (31 years ago)
Entity Number: 000-160-952
Register Number: 000160952
County: Baldwin
Place of Formation: Baldwin County
Principal Address: DAPHNE, AL
Registered Office Street Address: 1008 CAPTAIN O'NEAL DRIVEDAPHNE, AL 36526
Registered Office Street Address ZIP Code: 36526
Registered Office Mailing Address: PO BOX 1310FAIRHOPE, AL 36533
Registered Office Mailing Address ZIP Code: 36533
Authorized Capital: $10,000
Paid Share Capital: ----

Activities PERFORM MEDICAL SERVICES IN & OUT OF HOSPITALS & CLINICS

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
P5CUXNAWEYT5 2022-03-01 750 MORPHY AVE, FAIRHOPE, AL, 36532, 1812, USA PO BOX 830469, BIRMINGHAM, AL, 35283, 0469, USA

Business Information

Doing Business As (AFF: GULF HEALTH HOSPITALS INC)
Congressional District 01
State/Country of Incorporation AL, USA
Activation Date 2021-03-17
Initial Registration Date 2020-11-09
Entity Start Date 2005-01-01
Fiscal Year End Close Date Dec 31

Service Classifications

NAICS Codes 541990

Points of Contacts

Electronic Business
Title PRIMARY POC
Name MILAGROS RODRIGUEZ
Role ACCOUNT RECEIVABLES
Address 7774 ALLSPICE CIRCLE WEST, JACKSONVILLE, FL, 32244, USA
Government Business
Title PRIMARY POC
Name MILAGROS RODRIGUEZ
Role ACCOUNT RECEIVABLES
Address 5 MOBILE INFIRMARY MEDICAL CTR, MOBILE, AL, 36607, USA
Past Performance Information not Available

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1154378271 2006-05-27 2024-08-30 PO BOX 830469, BIRMINGHAM, AL, 352830469, US 750 MORPHY AVE, FAIRHOPE, AL, 365321812, US

Contacts

Phone +1 904-805-1152
Phone +1 251-990-1150

Authorized person

Name DR. DONALD MARTIN WILLIAMS
Role PRESIDENT
Phone 2516215769

Taxonomy

Taxonomy Code 207P00000X - Emergency Medicine Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
BEP 401(K) PLAN 2023 631104510 2024-09-25 BALDWIN EMERGENCY PHYSICIANS, P.C. 81
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2519743868
Plan sponsor’s address P.O. BOX 1310, FAIRHOPE, AL, 36533

Signature of

Role Plan administrator
Date 2024-09-25
Name of individual signing DONALD WILLIAMS
Valid signature Filed with authorized/valid electronic signature
BEP 401(K) PLAN 2022 631104510 2023-05-17 BALDWIN EMERGENCY PHYSICIANS, P.C. 73
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2519743868
Plan sponsor’s address P.O. BOX 1310, FAIRHOPE, AL, 36533

Signature of

Role Plan administrator
Date 2023-05-17
Name of individual signing DONALD WILLIAMS
BEP 401(K) PLAN 2021 631104510 2022-03-27 BALDWIN EMERGENCY PHYSICIANS, P.C. 69
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2519743868
Plan sponsor’s address P.O. BOX 1310, FAIRHOPE, AL, 36533

Signature of

Role Plan administrator
Date 2022-03-27
Name of individual signing DONALD WILLIAMS
BEP 401(K) PLAN 2020 631104510 2021-05-17 BALDWIN EMERGENCY PHYSICIANS, P.C. 67
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2519743868
Plan sponsor’s address P O BOX 1310, FAIRHOPE, AL, 36533

Signature of

Role Plan administrator
Date 2021-05-15
Name of individual signing DONALD WILLIAMS
Role Employer/plan sponsor
Date 2021-05-15
Name of individual signing DONALD WILLIAMS
BEP 401(K) PLAN 2019 631104510 2020-04-19 BALDWIN EMERGENCY PHYSICIANS, P.C. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2519743868
Plan sponsor’s address P O BOX 1310, FAIRHOPE, AL, 36533

Signature of

Role Plan administrator
Date 2020-04-19
Name of individual signing DONALD WILLIAMS
Role Employer/plan sponsor
Date 2020-04-19
Name of individual signing DONALD WILLIAMS
BEP 401(K) PLAN 2018 631104510 2019-05-09 BALDWIN EMERGENCY PHYSICIANS, P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2519743868
Plan sponsor’s address P O BOX 1310, FAIRHOPE, AL, 36533

Signature of

Role Plan administrator
Date 2019-05-09
Name of individual signing DONALD WILLIAMS
Role Employer/plan sponsor
Date 2019-05-09
Name of individual signing DONALD WILLIAMS
BEP 401(K) PLAN 2017 631104510 2018-04-09 BALDWIN EMERGENCY PHYSICIANS, P.C. 15
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2519743868
Plan sponsor’s address P O BOX 1310, FAIRHOPE, AL, 36533

Signature of

Role Plan administrator
Date 2018-04-08
Name of individual signing DONALD WILLIAMS
Role Employer/plan sponsor
Date 2018-04-08
Name of individual signing DONALD WILLIAMS
BEP 401(K) PLAN 2017 631104510 2018-04-30 BALDWIN EMERGENCY PHYSICIANS, P.C. 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2519743868
Plan sponsor’s address P O BOX 1310, FAIRHOPE, AL, 36533

Signature of

Role Plan administrator
Date 2018-04-30
Name of individual signing DONALD WILLIAMS
Role Employer/plan sponsor
Date 2018-04-30
Name of individual signing DONALD WILLIAMS
BEP 401(K) PLAN 2016 631104510 2017-03-03 BALDWIN EMERGENCY PHYSICIANS, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2519743868
Plan sponsor’s address P O BOX 1310, FAIRHOPE, AL, 36533

Signature of

Role Plan administrator
Date 2017-03-02
Name of individual signing DONALD WILLIAMS
Role Employer/plan sponsor
Date 2017-03-02
Name of individual signing DONALD WILLIAMS
BEP 401(K) PLAN 2015 631104510 2016-08-22 BALDWIN EMERGENCY PHYSICIANS, P.C. 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 2519743868
Plan sponsor’s address P O BOX 1310, FAIRHOPE, AL, 36533

Signature of

Role Plan administrator
Date 2016-08-22
Name of individual signing DONALD WILLIAMS
Role Employer/plan sponsor
Date 2016-08-22
Name of individual signing DONALD WILLIAMS

Incorporator

Name Role
ALSIP, JORGE A Incorporator

Agent

Name Role
WILLIAMS, DONALD M Agent

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State