Neonatal Medical Care, P.C.

Details

Name:	Neonatal Medical Care, P.C.
Jurisdiction:	Alabama
Legal type:	Domestic Professional Corporation
Status:	Exists
Date of registration:	21 May 2001 (24 years ago) (Companies founded in May 2001)
Entity Number:	000-216-926
Register Number:	000216926
ZIP code:	35203 (Companies in Jefferson, 35203)
County:	Jefferson
Place of Formation:	Jefferson County
Principal Address:	BIRMINGHAM, AL
Registered Office Street Address:	420 NORTH 20TH ST STE 3100BIRMINGHAM, AL 35203
Authorized Capital:	$1,000

Activities PRACTICE OF MEDICINE/SPECIFICALLY NEONATOLOGY

National Provider Identifier

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1346300514

2006-12-11

2015-07-17

1820 RICE MINE RD N, SUITE 200, TUSCALOOSA, AL, 354063281, US

809 UNIVERSITY BLVD E, TUSCALOOSA, AL, 354012029, US

Contacts

Phone	+1 205-333-4656
Fax	2053334660

Authorized person

Name	DR. JAVIER E REPETTO
Role	PHYSICIAN OWNER
Phone	2053334656

Taxonomy

Taxonomy Code	2080N0001X - Neonatal-Perinatal Medicine Physician
Is Primary	Yes

Other Provider Identifiers

Issuer	MEDICAID
Number	529907460
State	AL

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

NEONATAL MEDICAL CARE, P.C. 401(K) PLAN

2010

631275993

2011-05-16

NEONATAL MEDICAL CARE, P.C.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2002-01-01
Business code	621111
Sponsor’s telephone number	2053446675
Plan sponsor’s address	29 SIGNAL HILL CIRCLE, TUSCALOOSA, AL, 354064032

Plan administrator’s name and address

Administrator’s EIN	631275993
Plan administrator’s name	NEONATAL MEDICAL CARE, P.C.
Plan administrator’s address	29 SIGNAL HILL CIRCLE, TUSCALOOSA, AL, 354064032
Administrator’s telephone number	2053446675

Signature of

Role	Plan administrator
Date	2011-05-16
Name of individual signing	JAVIER E. REPETTO, MD

NEONATAL MEDICAL CARE, P.C. 401(K) PLAN

2009

631275993

2010-10-08

NEONATAL MEDICAL CARE, P.C.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2002-01-01
Business code	621111
Sponsor’s telephone number	2053446675
Plan sponsor’s address	29 SIGNAL HILL CIRCLE, TUSCALOOSA, AL, 354064032

Plan administrator’s name and address

Administrator’s EIN	631275993
Plan administrator’s name	NEONATAL MEDICAL CARE, P.C.
Plan administrator’s address	29 SIGNAL HILL CIRCLE, TUSCALOOSA, AL, 354064032
Administrator’s telephone number	2053446675

Signature of

Role	Plan administrator
Date	2010-10-08
Name of individual signing	JAVIER E. REPETTO, MD

Agent

Name	Role	Address
CHRISTIAN, EDWARD R	Agent	420 20TH ST N STE 3400BIRMINGHAM, AL 35203

Incorporator

Name	Role	Address
CHRISTIAN, EDWARD R	Incorporator	420 20TH ST N STE 3400BIRMINGHAM, AL 35203

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State