Name: | Keith S. Hughes, M.D., P.C. |
Jurisdiction: | Alabama |
Legal type: | Domestic Professional Corporation |
Status: | Exists |
Date of registration: | 29 Dec 1994 (30 years ago) |
Entity Number: | 000-169-223 |
Register Number: | 000169223 |
County: | Montgomery |
Place of Formation: | Montgomery County |
Principal Address: | MONTGOMERY, AL |
Registered Office Street Address: | 6994 WINTON BLOUNT BLVDMONTGOMERY, AL 36117 |
Registered Office Street Address ZIP Code: | 36117 |
Authorized Capital: | $1,000 |
Paid Share Capital: | ---- |
Activities
ANY LAWFUL ACTIVITY
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1326246448 | 2007-07-10 | 2007-07-12 | 6994 WINTON BLOUNT BLVD, MONTGOMERY, AL, 361173556, US | 6994 WINTON BLOUNT BLVD, MONTGOMERY, AL, 361173556, US | |||||||||||||||||||||||||
|
Phone | +1 334-271-5700 |
Fax | 3342715803 |
Authorized person
Name | DR. KEITH S HUGHES |
Role | PHYSICIAN/PRESIDENT |
Phone | 3342715700 |
Taxonomy
Taxonomy Code | 207Q00000X - Family Medicine Physician |
License Number | 10167 |
State | AL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | RAILROAD MEDICARE GRP NUM |
Number | CJ2701 |
State | AL |
Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
KEITH S. HUGHES, M.D., P.C. PROFIT SHARING PLAN | 2016 | 631134320 | 2018-02-28 | KEITH S. HUGHES, M.D., P.C. | 11 | |||||||||||||
|
||||||||||||||||||
KEITH S. HUGHES, M.D., P.C. PROFIT SHARING PLAN | 2016 | 630810446 | 2017-10-12 | KEITH S. HUGHES, M.D., P.C. | 11 | |||||||||||||
|
Name | Role |
---|---|
HUGHES, KEITH S | Agent |
Name | Role |
---|---|
HUGHES, KEITH S | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State