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Tuscaloosa MedCenter South, LLC

Details

Name: Tuscaloosa MedCenter South, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 07 May 2001 (24 years ago) (Companies founded in May 2001)
Entity Number: 000-216-716
Register Number: 000216716
Historical Names: Tuscaloosa MedCenter South, P.C.
ZIP code: 35405 (Companies in Tuscaloosa, 35405)
County: Tuscaloosa
Place of Formation: Tuscaloosa County
Principal Address: 5005 OSCAR BAXTER DRIVETUSCALOOSA, AL 354
Registered Office Street Address: 5005 OSCAR BAXTER DRIVETUSCALOOSA, AL 35405

Activities PRACTICE OF MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1689689481 2006-07-30 2024-06-14 5005 OSCAR BAXTER DR, TUSCALOOSA, AL, 354053698, US 5005 OSCAR BAXTER DR, TUSCALOOSA, AL, 354053698, US

Contacts
Phone +1 205-343-2225
Fax 2053432230

Authorized person
Name HOLLY POSEY JAMES
Role EXECUTIVE DIRECTOR
Phone 2053301707

Taxonomy
Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary No
Taxonomy Code 261QU0200X - Urgent Care Clinic/Center
Is Primary Yes

Other Provider Identifiers
Issuer RAILROAD MEDICARE
Number CJ7234
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MEDCENTER 401(K) PLAN 2023 631274310 2024-09-03 TUSCALOOSA MEDCENTER SOUTH 121
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2053301707
Plan sponsor’s address 3909 MCFARLAND BLVD., NORTHPORT, AL, 35476

Signature of
Role Plan administrator
Date 2024-09-03
Name of individual signing HOLLY JAMES
MEDCENTER 401(K) PLAN 2022 631274310 2023-09-12 TUSCALOOSA MEDCENTER SOUTH 114
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2053301707
Plan sponsor’s address 3909 MCFARLAND BLVD., NORTHPORT, AL, 35476

Signature of
Role Plan administrator
Date 2023-09-12
Name of individual signing HOLLY JAMES
MEDCENTER 401(K) PLAN 2021 631274310 2022-09-15 TUSCALOOSA MEDCENTER SOUTH 88
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2053301707
Plan sponsor’s address 3909 MCFARLAND BLVD., NORTHPORT, AL, 35476

Signature of
Role Plan administrator
Date 2022-09-15
Name of individual signing HOLLY JAMES
MEDCENTER 401(K) PLAN 2020 631274310 2021-10-08 TUSCALOOSA MEDCENTER SOUTH 97
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2053331993
Plan sponsor’s address 3909 MCFARLAND BLVD., NORTHPORT, AL, 35476

Signature of
Role Plan administrator
Date 2021-10-08
Name of individual signing HOLLY JAMES
MEDCENTER 401(K) PLAN 2019 631274310 2020-07-17 TUSCALOOSA MEDCENTER SOUTH 103
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2053331993
Plan sponsor’s address 3909 MCFARLAND BLVD., NORTHPORT, AL, 35476

Signature of
Role Plan administrator
Date 2020-07-17
Name of individual signing HOLLY JAMES
MEDCENTER 401(K) PLAN 2018 631274310 2019-10-11 TUSCALOOSA MEDCENTER SOUTH 118
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2053331993
Plan sponsor’s address 3909 MCFARLAND BLVD., NORTHPORT, AL, 35476

Signature of
Role Plan administrator
Date 2019-10-11
Name of individual signing HOLLY JAMES
MEDCENTER 401(K) PLAN 2017 631274310 2018-10-11 TUSCALOOSA MEDCENTER SOUTH 113
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2053331993
Plan sponsor’s address 3909 MCFARLAND BLVD., NORTHPORT, AL, 35476

Signature of
Role Plan administrator
Date 2018-10-11
Name of individual signing HOLLY JAMES
MEDCENTER 401(K) PLAN 2016 631274310 2017-07-12 TUSCALOOSA MEDCENTER SOUTH 114
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2053331993
Plan sponsor’s address 3909 MCFARLAND BLVD., NORTHPORT, AL, 35476

Signature of
Role Plan administrator
Date 2017-07-12
Name of individual signing HOLLY JAMES
MEDCENTER 401(K) PLAN 2015 631274310 2016-10-12 TUSCALOOSA MEDCENTER SOUTH 95
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2053331993
Plan sponsor’s address 3909 MCFARLAND BLVD., NORTHPORT, AL, 35476

Signature of
Role Plan administrator
Date 2016-10-12
Name of individual signing HOLLY JAMES

Agent

Name Role Address
POSEY, ROBERT A Agent 1 RIDGELANDTUSCALOOSA, AL 35406

Organizer

Name Role Address
MIXON, GREG Organizer 44 INVERNESS CENTER PARKWAY, SUITE 140BIRMINGHAM, AL 35242

Events

Event Date Event Type Old Value New Value
2024-03-18 Name Change Tuscaloosa MedCenter South, P.C. Tuscaloosa MedCenter South, LLC

Related by officers

POSEY, ROBERT A

North River Emergency Physicians, PC Tuscaloosa MedCenter North, LLC Management Connections, Inc. PLMCM, LLC MedCenter Hoover, P.C. MedCenter Fayette, LLC MedCenter Primary Care, LLC PMCM, LLC RAP & MHP, L.L.C. PLM, LLC

MIXON, GREG

Woodrow House 4512, LLC Constantine International Foods, LLC Tuscaloosa MedCenter North, LLC Urgent Care Northwest, LLC MedCenter Demopolis, LLC Pharmacy of Madison, LLC Truemark Metals, LLC GaaS LLC BM Investments LLC MedCenter Primary Care, LLC

Related by address

No related companies by address

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State

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