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Cleburne Medical Clinic, Inc.

Details

Name: Cleburne Medical Clinic, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 17 Feb 2000 (25 years ago) (Companies founded in February 2000)
Entity Number: 000-208-052
Register Number: 000208052
ZIP code: 36264 (Companies in Cleburne, 36264)
County: Cleburne
Place of Formation: Cleburne County
Principal Address: HEFLIN, AL
Registered Office Street Address: 880 ALMON STHEFLIN, AL 36264
Authorized Capital: $100

Activities PROVIDE HEALTH CARE SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1457429516 2006-11-30 2020-08-22 1112 CHRISTINE AVE, ANNISTON, AL, 362074658, US 1112 CHRISTINE AVE, ANNISTON, AL, 362074658, US

Contacts
Phone +1 256-237-2351
Fax 2562372350

Authorized person
Name DONNA H LOWERY
Role OFFICE MANAGER
Phone 2562372351

Taxonomy
Taxonomy Code 261QP2300X - Primary Care Clinic/Center
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CLEBURNE MEDICAL CLINIC 401(K) PROFIT SHARING PLA 2023 631246246 2024-05-19 CLEBURNE MEDICAL CLINIC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2564637454
Plan sponsor’s address 40 GILES STREET, HEFLIN, AL, 36264

Signature of
Role Plan administrator
Date 2024-05-19
Name of individual signing IGOR BIDIKOV, M.D.
CLEBURNE MEDICAL CLINIC 401(K) PROFIT SHARING PLA 2022 631246246 2023-04-29 CLEBURNE MEDICAL CLINIC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2564637454
Plan sponsor’s address 40 GILES STREET, HEFLIN, AL, 36264

Signature of
Role Plan administrator
Date 2023-04-29
Name of individual signing IGOR BIDIKOV, M.D.
CLEBURNE MEDICAL CLINIC 401(K) PROFIT SHARING PLA 2021 631246246 2022-05-06 CLEBURNE MEDICAL CLINIC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2564637454
Plan sponsor’s address 40 GILES STREET, HEFLIN, AL, 36264

Signature of
Role Plan administrator
Date 2022-05-06
Name of individual signing IGOR BIDIKOV, M.D.
CLEBURNE MEDICAL CLINIC 401(K) PROFIT SHARING PLA 2020 631246246 2021-06-15 CLEBURNE MEDICAL CLINIC 24
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2564637454
Plan sponsor’s address 40 GILES STREET, HEFLIN, AL, 36264

Signature of
Role Plan administrator
Date 2021-06-15
Name of individual signing IGOR BIDIKOV, M.D.
CLEBURNE MEDICAL CLINIC 401(K) PROFIT SHARING PLA 2019 631246246 2020-06-03 CLEBURNE MEDICAL CLINIC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2564637454
Plan sponsor’s address 40 GILES STREET, HEFLIN, AL, 36264

Signature of
Role Plan administrator
Date 2020-06-03
Name of individual signing IGOR BIDIKOV, M.D.
CLEBURNE MEDICAL CLINIC 401(K) PROFIT SHARING PLA 2018 631246246 2019-06-06 CLEBURNE MEDICAL CLINIC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2564637454
Plan sponsor’s address 40 GILES STREET, HEFLIN, AL, 36264

Signature of
Role Plan administrator
Date 2019-06-06
Name of individual signing IGOR BIDIKOV, M.D.
CLEBURNE MEDICAL CLINIC 401(K) PROFIT SHARING PLA 2017 631246246 2018-05-04 CLEBURNE MEDICAL CLINIC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2564637454
Plan sponsor’s address 40 GILES STREET, HEFLIN, AL, 36264

Signature of
Role Plan administrator
Date 2018-05-04
Name of individual signing IGOR BIDIKOV, M.D.
CLEBURNE MEDICAL CLINIC 401(K) PROFIT SHARING PLA 2016 631246246 2017-05-08 CLEBURNE MEDICAL CLINIC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2564637454
Plan sponsor’s address 40 GILES STREET, HEFLIN, AL, 36264

Signature of
Role Plan administrator
Date 2017-05-08
Name of individual signing IGOR BIDIKOV, M.D.
CLEBURNE MEDICAL CLINIC 401(K) PROFIT SHARING PLA 2015 631246246 2016-09-14 CLEBURNE MEDICAL CLINIC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2564637454
Plan sponsor’s address 40 GILES STREET, HEFLIN, AL, 36264

Signature of
Role Plan administrator
Date 2016-09-14
Name of individual signing IGOR BIDIKOV, M.D.
CLEBURNE MEDICAL CLINIC 401(K) PROFIT SHARING PLA 2014 631246246 2015-04-21 CLEBURNE MEDICAL CLINIC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2001-01-01
Business code 621111
Sponsor’s telephone number 2564637454
Plan sponsor’s address 40 GILES STREET, HEFLIN, AL, 36264

Signature of
Role Plan administrator
Date 2015-04-21
Name of individual signing IGOR BIDIKOV, M.D.

Agent

Name Role Address
BIDIKOV, IGOR Agent 1203 STILLWATER ROADANNISTON, AL 36207

Incorporator

Name Role Address
BIDIKOV, IGOR Incorporator 1203 STILLWATER ROADANNISTON, AL 36207
IVANOV, ROUMEN KIRILOV Incorporator No data
PRICHARD, DEBRA Incorporator No data

Related by officers

BIDIKOV, IGOR

Bidikov Foundation

Related by address

HEFLIN, AL

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Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State

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