Menu
Search icon

Podiatry Health Center P.C.

Details

Name: Podiatry Health Center P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 31 Mar 1998 (27 years ago)
Entity Number: 000-194-788
Register Number: 000194788
Historical Names: Alabama South Family Podiatry, P.C.
County: Houston
Place of Formation: Houston County
Registered Office Street Address: 1805 WEST MAIN ST, STE 1DOTHAN, AL 36301
Registered Office Street Address ZIP Code: 36301
Authorized Capital: $1,200

Activities PODIATRY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1932114428 2006-07-31 2016-09-30 204 LUDS WAY, DOTHAN, AL, 363036350, US 204 LUDS WAY, DOTHAN, AL, 363036350, US

Contacts
Phone +1 334-678-7036
Fax 3347024208

Authorized person
Name MARY DIANE COLLIER
Role PODIATRIST/OWNER
Phone 3346787036

Taxonomy
Taxonomy Code 213E00000X - Podiatrist
Is Primary Yes

Other Provider Identifiers
Issuer BLUE CROSS & BLUE SHIELD
Number 77827
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ALABAMA SOUTH FAMILY PODIATRY, P.C. RETIREMENT PLAN 2023 631197147 2024-08-30 ALABAMA SOUTH FAMILY PODIATRY, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-07-01
Business code 621391
Sponsor’s telephone number 3346787036
Plan sponsor’s address 204 LUDS WAY, DOTHAN, AL, 36303
ALABAMA SOUTH FAMILY PODIATRY, P.C. RETIREMENT PLAN 2022 631197147 2023-10-13 ALABAMA SOUTH FAMILY PODIATRY, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-07-01
Business code 621391
Sponsor’s telephone number 3346787036
Plan sponsor’s address 204 LUDS WAY, DOTHAN, AL, 36303
ALABAMA SOUTH FAMILY PODIATRY, P.C. RETIREMENT PLAN 2021 631197147 2022-09-02 ALABAMA SOUTH FAMILY PODIATRY, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-07-01
Business code 621391
Sponsor’s telephone number 3346787036
Plan sponsor’s address 204 LUDS WAY, DOTHAN, AL, 36303

Signature of
Role Plan administrator
Date 2022-09-02
Name of individual signing DR. M DIANE COLLIER, DPM
ALABAMA SOUTH FAMILY PODIATRY, P.C. RETIREMENT PLAN 2020 631197147 2021-10-12 ALABAMA SOUTH FAMILY PODIATRY, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-07-01
Business code 621391
Sponsor’s telephone number 3346787036
Plan sponsor’s address 204 LUDS WAY, DOTHAN, AL, 36303
ALABAMA SOUTH FAMILY PODIATRY, P.C. RETIREMENT PLAN 2020 631197147 2021-05-05 ALABAMA SOUTH FAMILY PODIATRY, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-07-01
Business code 621391
Sponsor’s telephone number 3346787036
Plan sponsor’s address 204 LUDS WAY, DOTHAN, AL, 36303
ALABAMA SOUTH FAMILY PODIATRY, P.C. RETIREMENT PLAN 2020 631197147 2021-05-05 ALABAMA SOUTH FAMILY PODIATRY, P.C. 4
Three-digit plan number (PN) 001
Effective date of plan 2007-07-01
Business code 621391
Sponsor’s telephone number 3346787036
Plan sponsor’s address 204 LUDS WAY, DOTHAN, AL, 36303

Signature of
Role Plan administrator
Date 2021-05-05
Name of individual signing DR. M DIANE COLLIER, DPM
ALABAMA SOUTH FAMILY PODIATRY, P.C. RETIREMENT PLAN 2019 631197147 2021-05-05 ALABAMA SOUTH FAMILY PODIATRY, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-07-01
Business code 621391
Sponsor’s telephone number 3346787036
Plan sponsor’s address 204 LUDS WAY, DOTHAN, AL, 36303
ALABAMA SOUTH FAMILY PODIATRY, P.C. RETIREMENT PLAN 2019 631197147 2021-05-05 ALABAMA SOUTH FAMILY PODIATRY, P.C. 4
Three-digit plan number (PN) 001
Effective date of plan 2007-07-01
Business code 621391
Sponsor’s telephone number 3346787036
Plan sponsor’s address 204 LUDS WAY, DOTHAN, AL, 36303

Signature of
Role Plan administrator
Date 2021-05-05
Name of individual signing DR. M DIANE COLLIER, DPM
ALABAMA SOUTH FAMILY PODIATRY, P.C. RETIREMENT PLAN 2018 631197147 2019-10-15 ALABAMA SOUTH FAMILY PODIATRY, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-07-01
Business code 621391
Sponsor’s telephone number 3346787036
Plan sponsor’s address 204 LUDS WAY, DOTHAN, AL, 36303

Plan administrator’s name and address
Administrator’s EIN 631197147
Plan administrator’s name ALABAMA SOUTH FAMILY PODIATRY, P.C.
Plan administrator’s address 204 LUDS WAY, DOTHAN, AL, 36303
Administrator’s telephone number 3346787036
ALABAMA SOUTH FAMILY PODIATRY, P.C. RETIREMENT PLAN 2016 631197147 2017-10-16 ALABAMA SOUTH FAMILY PODIATRY, P.C. 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-07-01
Business code 621391
Sponsor’s telephone number 3346787036
Plan sponsor’s address 204 LUDS WAY, DOTHAN, AL, 36303

Plan administrator’s name and address
Administrator’s EIN 631197147
Plan administrator’s name ALABAMA SOUTH FAMILY PODIATRY, P.C.
Plan administrator’s address 204 LUDS WAY, DOTHAN, AL, 36303
Administrator’s telephone number 3346787036

Agent

Name Role
COLLIER, M DIA Agent

Incorporator

Name Role Address
COLLIER, M DIANE Incorporator 800 N IROQUOIS AVEDOTHAN, AL 36303

Events

Event Date Event Type Old Value New Value
2020-05-28 Name Change Alabama South Family Podiatry, P.C. Podiatry Health Center P.C.

Related by officers

COLLIER, M DIANE

Dothan Podiatry, LLC

Related by address

No related companies by address

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2024 alabamacompanysearch.com, Part of Big Data Integrated