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Huntsville Renal Clinic, P.C.

Details

Name: Huntsville Renal Clinic, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 01 Mar 1999 (26 years ago) (Companies founded in March 1999)
Entity Number: 000-201-137
Register Number: 000201137
ZIP code: 35801 (Companies in Madison, 35801)
County: Madison
Place of Formation: Madison County
Principal Address: HUNTSVILLE, AL
Registered Office Street Address: 810 FRANKLIN ST STE AHUNTSVILLE, AL 35801
Authorized Capital: $16

Activities OWN & OPERATE A MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1831281849 2006-09-28 2023-09-13 810 FRANKLIN ST SE, SUITE A, HUNTSVILLE, AL, 358014311, US 810 FRANKLIN ST SE, SUITE A, HUNTSVILLE, AL, 358014311, US

Contacts
Phone +1 256-533-7676
Fax 2565333171

Authorized person
Name KAREN SMELSER
Role OFFICE MANAGER
Phone 2565337676

Taxonomy
Taxonomy Code 207RN0300X - Nephrology Physician
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 000046537
State AL
Issuer MEDICAID
Number 529908020
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HUNTSVILLE RENAL CLINIC, P.C. 401(K) PLAN 2023 631220194 2024-02-05 HUNTSVILLE RENAL CLINIC, P.C. 42
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-08-01
Business code 621111
Sponsor’s telephone number 2565337676
Plan sponsor’s address 810 FRANKLIN STREET, SUITE A, HUNTSVILLE, AL, 35801
HUNTSVILLE RENAL CLINIC, P.C. 401(K) PLAN 2022 631220194 2023-05-03 HUNTSVILLE RENAL CLINIC, P.C. 38
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-08-01
Business code 621111
Sponsor’s telephone number 2565337676
Plan sponsor’s address 810 FRANKLIN STREET, SUITE A, HUNTSVILLE, AL, 35801
HUNTSVILLE RENAL CLINIC, P.C. 401(K) PLAN 2021 631220194 2022-02-10 HUNTSVILLE RENAL CLINIC, P.C. 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-08-01
Business code 621111
Sponsor’s telephone number 2565337676
Plan sponsor’s address 810 FRANKLIN STREET, SUITE A, HUNTSVILLE, AL, 35801
HUNTSVILLE RENAL CLINIC, P.C. 401(K) PLAN 2020 631220194 2021-04-07 HUNTSVILLE RENAL CLINIC, P.C. 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-08-01
Business code 621111
Sponsor’s telephone number 2565337676
Plan sponsor’s address 810 FRANKLIN STREET, SUITE A, HUNTSVILLE, AL, 35801
HUNTSVILLE RENAL CLINIC, P.C. 401(K) PLAN 2019 631220194 2020-06-01 HUNTSVILLE RENAL CLINIC, P.C. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-08-01
Business code 621111
Sponsor’s telephone number 2565337676
Plan sponsor’s address 810 FRANKLIN STREET, SUITE A, HUNTSVILLE, AL, 35801
HUNTSVILLE RENAL CLINIC, P.C. 401(K) PLAN 2018 631220194 2019-05-10 HUNTSVILLE RENAL CLINIC, P.C. 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-08-01
Business code 621111
Sponsor’s telephone number 2565337676
Plan sponsor’s address 810 FRANKLIN STREET, SUITE A, HUNTSVILLE, AL, 35801

Plan administrator’s name and address
Administrator’s EIN 631220194
Plan administrator’s name HUNTSVILLE RENAL CLINIC, P.C.
Plan administrator’s address 810 FRANKLIN STREET, SUITE A, HUNTSVILLE, AL, 35801
Administrator’s telephone number 2565337676
HUNTSVILLE RENAL CLINIC, P.C. 401(K) PLAN 2018 631220194 2019-05-10 HUNTSVILLE RENAL CLINIC, P.C. 30
Three-digit plan number (PN) 001
Effective date of plan 2001-08-01
Business code 621111
Sponsor’s telephone number 2565337676
Plan sponsor’s address 810 FRANKLIN STREET, SUITE A, HUNTSVILLE, AL, 35801

Plan administrator’s name and address
Administrator’s EIN 631220194
Plan administrator’s name HUNTSVILLE RENAL CLINIC, P.C.
Plan administrator’s address 810 FRANKLIN STREET, SUITE A, HUNTSVILLE, AL, 35801
Administrator’s telephone number 2565337676
HUNTSVILLE RENAL CLINIC, P.C. 401(K) PLAN 2017 631220194 2018-05-02 HUNTSVILLE RENAL CLINIC, P.C. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-08-01
Business code 621111
Sponsor’s telephone number 2565337676
Plan sponsor’s address 810 FRANKLIN STREET, SUITE A, HUNTSVILLE, AL, 35801

Plan administrator’s name and address
Administrator’s EIN 631220194
Plan administrator’s name HUNTSVILLE RENAL CLINIC, P.C.
Plan administrator’s address 810 FRANKLIN STREET, SUITE A, HUNTSVILLE, AL, 35801
Administrator’s telephone number 2565337676
HUNTSVILLE RENAL CLINIC, P.C. 401(K) PLAN 2016 631220194 2017-04-10 HUNTSVILLE RENAL CLINIC, P.C. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-08-01
Business code 621111
Sponsor’s telephone number 2565337676
Plan sponsor’s address 810 FRANKLIN STREET, SUITE A, HUNTSVILLE, AL, 35801

Plan administrator’s name and address
Administrator’s EIN 631220194
Plan administrator’s name HUNTSVILLE RENAL CLINIC, P.C.
Plan administrator’s address 810 FRANKLIN STREET, SUITE A, HUNTSVILLE, AL, 35801
Administrator’s telephone number 2565337676
HUNTSVILLE RENAL CLINIC, P.C. 401(K) PLAN 2015 631220194 2016-05-02 HUNTSVILLE RENAL CLINIC, P.C. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-08-01
Business code 621111
Sponsor’s telephone number 2565337676
Plan sponsor’s address 810 FRANKLIN STREET, SUITE A, HUNTSVILLE, AL, 35801

Plan administrator’s name and address
Administrator’s EIN 631220194
Plan administrator’s name HUNTSVILLE RENAL CLINIC, P.C.
Plan administrator’s address 810 FRANKLIN STREET, SUITE A, HUNTSVILLE, AL, 35801
Administrator’s telephone number 2565337676

Agent

Name Role Address
SMELSER, JAMES M Agent 810 FRANKLIN STREET, SUITE AHUNTSVILLE, AL 35801

Incorporator

Name Role Address
SMELSER, JAMES M Incorporator 810 FRANKLIN STREET, SUITE AHUNTSVILLE, AL 35801

Events

Event Date Event Type Old Value New Value
2003-02-21 Capital Change $10 Authorized --- Paid In $16 Authorized undefined Paid In

Related by officers

SMELSER, JAMES M

SWR Holdings, LLC CRA Properties, LLC HRC Ventures, LLC HRC Ventures II, LLC SWR Holdings II, LLC SWR Holdings III, LLC HRC VENTURES III, LLC HRC Access, LLC HRC Decatur, LLC HRC Rocket City, LLC

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Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State

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