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Huntsville Cardiovascular Clinic, P.C.

Details

Name: Huntsville Cardiovascular Clinic, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 18 Nov 1998 (26 years ago)
Entity Number: 000-199-142
Register Number: 000199142
County: Madison
Place of Formation: Madison County
Principal Address: HUNTSVILLE, AL
Registered Office Street Address: 4601 WHITESBURG DRIVESUITE 201HUNTSVILLE, AL 35802
Registered Office Street Address ZIP Code: 35802
Authorized Capital: $10,000
Paid Share Capital: $1,000

Activities PRACTICE OF MEDICINE/OPERATE A MEDICAL CLINIC/MEDICAL CARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1114355120 2013-10-30 2019-09-10 4601 WHITESBURG DR SE, SUITE 201, HUNTSVILLE, AL, 358021676, US 4601 WHITESBURG DR SE, SUITE 201, HUNTSVILLE, AL, 358021676, US

Contacts
Phone +1 256-880-1050

Authorized person
Name REBECCA HEDRICK
Role ADMINISTRATOR
Phone 2568801050

Taxonomy
Taxonomy Code 363L00000X - Nurse Practitioner
License Number 1-109897
State AL
Is Primary Yes

Other Provider Identifiers
Issuer CRNP COLLABORATIVE PRACTICE LICENSE
Number 1-109897
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HUNTSVILLE CARDIOVASCULAR CLINIC, P.C. 401(K) PROFIT SHARING PLAN 2023 631211664 2024-04-16 HUNTSVILLE CARDIOVASCULAR CLINIC, P.C. 66
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-07-01
Business code 621111
Sponsor’s telephone number 2562134639
Plan sponsor’s address 4601 WHITESBURG DRIVE, SUITE 201, HUNTSVILLE, AL, 35802
HUNTSVILLE CARDIOVASCULAR CLINIC, P.C. 401(K) PROFIT SHARING PLAN 2022 631211664 2023-05-19 HUNTSVILLE CARDIOVASCULAR CLINIC, P.C. 65
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-07-01
Business code 621111
Sponsor’s telephone number 2562134639
Plan sponsor’s address 4601 WHITESBURG DRIVE, SUITE 201, HUNTSVILLE, AL, 35802
HUNTSVILLE CARDIOVASCULAR CLINIC, P.C. 401(K) PROFIT SHARING PLAN 2021 631211664 2022-05-04 HUNTSVILLE CARDIOVASCULAR CLINIC, P.C. 60
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-07-01
Business code 621111
Sponsor’s telephone number 2562134639
Plan sponsor’s address 4601 WHITESBURG DRIVE, SUITE 201, HUNTSVILLE, AL, 35802
HUNTSVILLE CARDIOVASCULAR CLINIC, P.C. 401(K) PROFIT SHARING PLAN 2020 631211664 2021-05-18 HUNTSVILLE CARDIOVASCULAR CLINIC, P.C. 57
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-07-01
Business code 621111
Sponsor’s telephone number 2562134639
Plan sponsor’s address 4601 WHITESBURG DRIVE, SUITE 201, HUNTSVILLE, AL, 35802
HUNTSVILLE CARDIOVASCULAR CLINIC, P.C. 401(K) PROFIT SHARING PLAN 2019 631211664 2020-07-17 HUNTSVILLE CARDIOVASCULAR CLINIC, P.C. 57
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-07-01
Business code 621111
Sponsor’s telephone number 2562134660
Plan sponsor’s address 4601 WHITESBURG DRIVE, SUITE 201, HUNTSVILLE, AL, 35802
HUNTSVILLE CARDIOVASCULAR CLINIC, P.C. 401(K) PROFIT SHARING PLAN 2018 631211664 2019-10-16 HUNTSVILLE CARDIOVASCULAR CLINIC, P.C. 51
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1999-07-01
Business code 621111
Sponsor’s telephone number 2562134660
Plan sponsor’s address 4601 WHITESBURG DRIVE, SUITE 201, HUNTSVILLE, AL, 35802
HUNTSVILLE CARDIOVASCULAR CLINIC, P.C. 401(K) PROFIT SHARING PLAN 2018 631211664 2019-10-15 HUNTSVILLE CARDIOVASCULAR CLINIC, P.C. 51
Three-digit plan number (PN) 001
Effective date of plan 1999-07-01
Business code 621111
Sponsor’s telephone number 2562134660
Plan sponsor’s address 4601 WHITESBURG DRIVE, SUITE 201, HUNTSVILLE, AL, 35802

Agent

Name Role
WARREN L. STRICKLAND Agent

Incorporator

Name Role
COX, WILLIAM R Incorporator

Awards

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
PO AWARD W91YTV11P0488 2011-09-19 2012-10-31 2016-10-31
Unique Award Key CONT_AWD_W91YTV11P0488_9700_-NONE-_-NONE-
Awarding Agency Department of Defense
Link View Page

Description
Title CARDIOVASCULAR SERVICES
NAICS Code 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product and Service Codes Q502: CARDIO-VASCULAR SERVICES

Recipient Details
Recipient HUNTSVILLE CARDIOVASCULAR CLINIC PC
UEI NB5NB7N199H3
Legacy DUNS 015688958
Recipient Address UNITED STATES, 4601 WHITESBURG DR S, HUNTSVILLE, 358021676

Related by officers

COX, WILLIAM R

Farmpower, Inc. Tractorshed, Inc. LACOX, Inc. Diagnostic and Interventional Cardiovascular Medicine of North Alabama, P.C. CSA, LLC Forward, LLC Onward, LLC

Related by address

HUNTSVILLE, AL

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Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State

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