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Mobile Heart Specialists, P.C.

Details

Name: Mobile Heart Specialists, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 22 Dec 1995 (29 years ago) (Companies founded in December 1995)
Entity Number: 000-176-321
Register Number: 000176321
Historical Names: The Heart Group, P.C.
ZIP code: 36608 (Companies in Mobile, 36608)
County: Mobile
Place of Formation: Mobile County
Principal Address: MOBILE, AL
Registered Office Street Address: 6701 AIRPORT BLVD STE A 107MOBILE, AL 36608
Registered Office Mailing Address: PO BOX 850129MOBILE, AL 36685
Authorized Capital: $1,000
Paid Share Capital: ----

Activities PRACTICE OF MEDICINE/CARDIOLOGY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1063477644 2006-04-18 2013-09-18 6701 AIRPORT BLVD, SUITE A-107, MOBILE, AL, 366086705, US 6701 AIRPORT BLVD, SUITE A-107, MOBILE, AL, 366086705, US

Contacts
Phone +1 251-433-4700
Fax 2514358615

Authorized person
Name MR. BELINDA L ROGERS
Role DIRECTOR OF OPERATIONS
Phone 2514358572

Taxonomy
Taxonomy Code 174400000X - Specialist
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 00119745
State AL
Issuer MEDICAID
Number 000029329
State AL
Issuer MEDICAID
Number 09014562
State MS
Issuer NPI
Number 1558349860
State AL
Issuer RAILROAD MEDICARE
Number C2022
State AL
Issuer MEDICAID
Number 000008468
State AL
Issuer MEDICAID
Number 009902515
State AL
Issuer MEDICAID
Number 000033302
State AL
Issuer NPI
Number 1114905429
State AL
Issuer NPI
Number 1467433524
State AL
Issuer MEDICARE GRP MOBILE INF
Number G363
State AL
Issuer MEDICARE GRP PROV
Number G364
State AL
Issuer MEDICAID
Number 00115660
State MS
Issuer MEDICAID
Number 00126607
State MS
Issuer NPI
Number 1982685640
State AL
Issuer MEDICAID
Number 529601560
State AL
Issuer MEDICAID
Number 00121124
State MS

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MOBILE HEART SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN 2022 631159436 2023-08-13 MOBILE HEART SPECIALISTS, P.C. 44
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 2514334700
Plan sponsor’s address 6701 AIRPORT BOULEVARD, SUITE A107, MOBILE, AL, 36608

Signature of
Role Plan administrator
Date 2023-08-13
Name of individual signing SUSAN BRYAN
MOBILE HEART SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN 2021 631159436 2022-07-09 MOBILE HEART SPECIALISTS, P.C. 48
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 2514334700
Plan sponsor’s address 6701 AIRPORT BOULEVARD, SUITE A107, MOBILE, AL, 36608

Signature of
Role Plan administrator
Date 2022-07-09
Name of individual signing SUSAN BRYAN
MOBILE HEART SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN 2020 631159436 2021-05-16 MOBILE HEART SPECIALISTS, P.C. 46
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 2514334700
Plan sponsor’s address 6701 AIRPORT BOULEVARD, SUITE A107, MOBILE, AL, 36608

Signature of
Role Plan administrator
Date 2021-05-16
Name of individual signing SUSAN BRYAN
MOBILE HEART SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN 2019 631159436 2020-06-04 MOBILE HEART SPECIALISTS, P.C. 26
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 2514334700
Plan sponsor’s address 6701 AIRPORT BOULEVARD, SUITE A107, MOBILE, AL, 36608

Signature of
Role Plan administrator
Date 2020-06-04
Name of individual signing SUSAN BRYAN
MOBILE HEART SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN 2018 631159436 2019-04-30 MOBILE HEART SPECIALISTS, P.C. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 2514358570
Plan sponsor’s address 6701 AIRPORT BLVD SUITE A107, MOBILE, AL, 366086774

Signature of
Role Plan administrator
Date 2019-04-30
Name of individual signing SUSAN BRYAN
MOBILE HEART SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN 2017 631159436 2018-03-13 MOBILE HEART SPECIALISTS, P.C. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 2514358570
Plan sponsor’s address 6701 AIRPORT BLVD SUITE A107, MOBILE, AL, 366086774

Signature of
Role Plan administrator
Date 2018-03-13
Name of individual signing SUSAN BRYAN
MOBILE HEART SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN 2016 631159436 2017-02-23 MOBILE HEART SPECIALISTS, P.C. 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 2514358570
Plan sponsor’s address 6701 AIRPORT BLVD SUITE A107, MOBILE, AL, 366086774

Signature of
Role Plan administrator
Date 2017-02-23
Name of individual signing BELINDA ROGERS
MOBILE HEART SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN 2015 631159436 2016-03-29 MOBILE HEART SPECIALISTS, P.C. 39
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 2514358570
Plan sponsor’s address 6701 AIRPORT BLVD SUITE A107, MOBILE, AL, 366086774

Signature of
Role Plan administrator
Date 2016-03-29
Name of individual signing BELINDA ROGERS
MOBILE HEART SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN 2014 631159436 2015-06-16 MOBILE HEART SPECIALISTS, P.C. 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 2514358570
Plan sponsor’s address 6701 AIRPORT BLVD SUITE A107, MOBILE, AL, 366086774

Signature of
Role Plan administrator
Date 2015-06-16
Name of individual signing BELINDA ROGERS
MOBILE HEART SPECIALISTS, P.C. 401(K) PROFIT SHARING PLAN 2014 631159436 2015-03-05 MOBILE HEART SPECIALISTS, P.C. 40
Three-digit plan number (PN) 001
Effective date of plan 1996-01-01
Business code 621111
Sponsor’s telephone number 2514358570
Plan sponsor’s address 6701 AIRPORT BLVD SUITE A107, MOBILE, AL, 366086774

Signature of
Role Plan administrator
Date 2015-03-04
Name of individual signing BELINDA ROGERS

Agent

Name Role
BROWN, CHRISTOPHER S Agent

Incorporator

Name Role
MURPHY, PATRICK L Incorporator

Events

Event Date Event Type Old Value New Value
2006-05-10 Name Change The Heart Group, P.C. Mobile Heart Specialists, P.C.

Related by officers

BROWN, CHRISTOPHER S

Chris Brown, CPA, LLC

MURPHY, PATRICK L

Mobile Cardiology Associates, P.C.

Related by address

MOBILE, AL

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Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State

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