| 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 | |||||||||||||||||||||||||
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| 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 | |||||||||||||
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| KEITH S. HUGHES, M.D., P.C. PROFIT SHARING PLAN | 2016 | 630810446 | 2017-10-12 | KEITH S. HUGHES, M.D., P.C. | 11 | |||||||||||||
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| Name | Role |
|---|---|
| HUGHES, KEITH S | Agent |
| Name | Role |
|---|---|
| HUGHES, KEITH S | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
