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Cardiology of Central Alabama, P.C.

Details

Name: Cardiology of Central Alabama, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 10 Mar 1999 (26 years ago)
Entity Number: 000-201-475
Register Number: 000201475
County: Tallapoosa
Place of Formation: Tallapoosa County
Principal Address: ALEXANDER CITY, AL
Registered Office Street Address: 3368 HIGHWAY 280ALEXANDER CITY, AL 35010
Registered Office Street Address ZIP Code: 35010
Authorized Capital: $100

Activities PHYSICIAN/PRACTICE OF MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1578621736 2006-12-04 2010-02-08 3368 HIGHWAY 280, SUITE 130, ALEXANDER CITY, AL, 350103393, US 3368 HIGHWAY 280, SUITE 130, ALEXANDER CITY, AL, 350103393, US

Contacts

Phone +1 256-234-2644
Fax 2562342704

Authorized person

Name DR. KEVIN L. SUBLETT
Role PRESIDENT
Phone 2562342644

Taxonomy

Taxonomy Code 207RC0000X - Cardiovascular Disease Physician
License Number MD15380
State AL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 529900750
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CARDIOLOGY OF CENTRAL ALABAMA, P.C. PROFIT SHARING PLAN 2023 631220769 2024-09-17 CARDIOLOGY OF CENTRAL ALABAMA, P.C. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2562342644
Plan sponsor’s address 3368 HIGHWAY 280, SUITE 130, ALEXANDER CITY, AL, 35010

Signature of

Role Plan administrator
Date 2024-09-17
Name of individual signing KEVIN L SUBLETT
Valid signature Filed with authorized/valid electronic signature
CARDIOLOGY OF CENTRAL ALABAMA, P.C. PROFIT SHARING PLAN 2022 631220769 2023-08-16 CARDIOLOGY OF CENTRAL ALABAMA, P.C. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2562342644
Plan sponsor’s address 3368 HIGHWAY 280, SUITE 130, ALEXANDER CITY, AL, 35010

Signature of

Role Plan administrator
Date 2023-08-16
Name of individual signing KEVIN L SUBLETT
CARDIOLOGY OF CENTRAL ALABAMA, P.C. PROFIT SHARING PLAN 2021 631220769 2022-08-29 CARDIOLOGY OF CENTRAL ALABAMA, P.C. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2562342644
Plan sponsor’s address 3368 HIGHWAY 280, SUITE 130, ALEXANDER CITY, AL, 35010

Signature of

Role Plan administrator
Date 2022-08-29
Name of individual signing KEVIN L SUBLETT
CARDIOLOGY OF CENTRAL ALABAMA, P.C. PROFIT SHARING PLAN 2020 631220769 2021-07-20 CARDIOLOGY OF CENTRAL ALABAMA, P.C. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2562342644
Plan sponsor’s address 3368 HIGHWAY 280, SUITE 130, ALEXANDER CITY, AL, 35010

Signature of

Role Plan administrator
Date 2021-07-20
Name of individual signing KEVIN L SUBLETT
Role Employer/plan sponsor
Date 2021-07-20
Name of individual signing KEVIN L SUBLETT
CARDIOLOGY OF CENTRAL ALABAMA, P.C. PROFIT SHARING PLAN 2019 631220769 2020-06-03 CARDIOLOGY OF CENTRAL ALABAMA, P.C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2562342644
Plan sponsor’s address 3368 HIGHWAY 280, SUITE 130, ALEXANDER CITY, AL, 35010

Signature of

Role Plan administrator
Date 2020-06-03
Name of individual signing KEVIN L SUBLETT
Role Employer/plan sponsor
Date 2020-06-03
Name of individual signing KEVIN L SUBLETT
CARDIOLOGY OF CENTRAL ALABAMA, P.C. PROFIT SHARING PLAN 2018 631220769 2019-07-10 CARDIOLOGY OF CENTRAL ALABAMA, P.C. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2562342644
Plan sponsor’s address 3368 HIGHWAY 280, SUITE 130, ALEXANDER CITY, AL, 35010

Signature of

Role Plan administrator
Date 2019-07-10
Name of individual signing KEVIN L SUBLETT
Role Employer/plan sponsor
Date 2019-07-10
Name of individual signing KEVIN L SUBLETT
CARDIOLOGY OF CENTRAL ALABAMA, P.C. PROFIT SHARING PLAN 2017 631220769 2018-07-26 CARDIOLOGY OF CENTRAL ALABAMA, P.C. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2562342644
Plan sponsor’s address 3368 HIGHWAY 280, SUITE 130, ALEXANDER CITY, AL, 35010

Signature of

Role Plan administrator
Date 2018-07-26
Name of individual signing KEVIN L SUBLETT
Role Employer/plan sponsor
Date 2018-07-26
Name of individual signing KEVIN L SUBLETT
CARDIOLOGY OF CENTRAL ALABAMA, P.C. PROFIT SHARING PLAN 2016 631220769 2017-10-02 CARDIOLOGY OF CENTRAL ALABAMA, P.C. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2562342644
Plan sponsor’s address 3368 HIGHWAY 280, SUITE 130, ALEXANDER CITY, AL, 35010

Signature of

Role Plan administrator
Date 2017-10-02
Name of individual signing KEVIN L SUBLETT
Role Employer/plan sponsor
Date 2017-10-02
Name of individual signing KEVIN L SUBLETT
CARDIOLOGY OF CENTRAL ALABAMA, P.C. PROFIT SHARING PLAN 2015 631220769 2016-09-28 CARDIOLOGY OF CENTRAL ALABAMA, P.C. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2562342644
Plan sponsor’s address 3368 HIGHWAY 280, SUITE 130, ALEXANDER CITY, AL, 35010

Signature of

Role Plan administrator
Date 2016-09-28
Name of individual signing KEVIN L SUBLETT
Role Employer/plan sponsor
Date 2016-09-28
Name of individual signing KEVIN L SUBLETT
CARDIOLOGY OF CENTRAL ALABAMA, P.C. PROFIT SHARING PLAN 2014 631220769 2015-07-08 CARDIOLOGY OF CENTRAL ALABAMA, P.C. 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2000-01-01
Business code 621111
Sponsor’s telephone number 2562342644
Plan sponsor’s address 3368 HIGHWAY 280, SUITE 130, ALEXANDER CITY, AL, 35010

Signature of

Role Plan administrator
Date 2015-07-08
Name of individual signing KEVIN L SUBLETT
Role Employer/plan sponsor
Date 2015-07-08
Name of individual signing KEVIN L SUBLETT

Agent

Name Role
SUBLETT, KEVIN L Agent

Incorporator

Name Role
SUBLETT, KEVIN L Incorporator

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State