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Alabama Infectious Disease Center, P.C.

Details

Name: Alabama Infectious Disease Center, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 11 Sep 2001 (23 years ago) (Companies founded in September 2001)
Entity Number: 000-218-735
Register Number: 000218735
ZIP code: 35801 (Companies in Madison, 35801)
County: Madison
Place of Formation: Madison County
Principal Address: HUNTSVILLE, AL
Registered Office Street Address: 420 LOWELL DR SE STE 301HUNTSVILLE, AL 35801
Authorized Capital: $100,000

Activities PRACTICE MEDICINE

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
E3FCERF1J533 2023-03-04 420 LOWELL DR SE STE 301, HUNTSVILLE, AL, 35801, 3762, USA 420 LOWELL DR SUITE 301, HUNTSVILLE, AL, 35801, USA

Business Information
Doing Business As (AFF: HEALTH CARE AUTHORITY HUNTSVIL)
Division Name ALABAMA INFECTIOUS DISEASE CENTER
Congressional District 05
State/Country of Incorporation AL, USA
Activation Date 2022-02-04
Initial Registration Date 2022-02-02
Entity Start Date 2001-10-22
Fiscal Year End Close Date Dec 22

Points of Contacts
Electronic Business
Title PRIMARY POC
Name KIM D WHISENANT
Role OFFICE MANAGER
Address 420 LOWELL DR SUITE 301, HUNTSVILLE, AL, 35801, USA
Government Business
Title PRIMARY POC
Name KIM D WHISENANT
Role OFFICE MANAGER
Address 420 LOWELL DR SUITE 301, HUNTSVILLE, AL, 35801, USA
Past Performance Information not Available

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1215094446 2007-01-03 2013-11-13 420 LOWELL DR, SUITE 301, HUNTSVILLE, AL, 358013762, US 420 LOWELL DR, SUITE 301, HUNTSVILLE, AL, 358013762, US

Contacts
Phone +1 256-265-7955
Fax 2562657954

Authorized person
Name MRS. KIMBERLY DAWN WHISENANT
Role OFFICE MANAGER
Phone 2562657955

Taxonomy
Taxonomy Code 207RI0200X - Infectious Disease Physician
License Number 25943
State AL
Is Primary No
Taxonomy Code 207RI0200X - Infectious Disease Physician
License Number 28544
State AL
Is Primary No
Taxonomy Code 207RI0200X - Infectious Disease Physician
License Number 31607
State AL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 150458
State AL
Issuer MEDICAID
Number 1447446935
State AL
Issuer MEDICAID
Number 009970955
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ALABAMA INFECTIOUS DISEASE CENTER, P.C. 401(K) RETIREMENT PLAN & TRUST 2014 631283028 2015-10-14 ALABAMA INFECTIOUS DISEASE CENTER, P.C. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2562657956
Plan sponsor’s address 420 LOVELL DRIVE SE, HUNTSVILLE, AL, 35801

Signature of
Role Plan administrator
Date 2015-10-14
Name of individual signing ALI A. HASSON
ALABAMA INFECTIOUS DISEASE CENTER, P.C. 401K RETIREMENT PLAN & TRUST 2013 631283028 2014-09-17 ALABAMA INFECTIOUS DISEASE CENTER, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2562657956
Plan sponsor’s address 420 LOWELL DRIVE SE, HUNTSVILLE, AL, 35801

Plan administrator’s name and address
Administrator’s EIN 631283028
Plan administrator’s name ALABAMA INFECTIOUS DISEASE CENTER, P.C.
Plan administrator’s address 420 LOWELL DRIVE SE, HUNTSVILLE, AL, 35801
Administrator’s telephone number 2562657956

Signature of
Role Plan administrator
Date 2014-09-17
Name of individual signing DR. ALI HASSOUN
ALABAMA INFECTIOUS DISEASE CENTER, P.C. 401K RETIREMENT PLAN & TRUST 2012 631283028 2013-10-11 ALABAMA INFECTIOUS DISEASE CENTER, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2562657956
Plan sponsor’s address 420 LOWELL DRIVE SE, HUNTSVILLE, AL, 35801

Plan administrator’s name and address
Administrator’s EIN 631283028
Plan administrator’s name ALABAMA INFECTIOUS DISEASE CENTER, P.C.
Plan administrator’s address 420 LOWELL DRIVE SE, HUNTSVILLE, AL, 35801
Administrator’s telephone number 2562657956

Signature of
Role Plan administrator
Date 2013-10-11
Name of individual signing DR. ALI HASSOUN
ALABAMA INFECTIOUS DISEASE CENTER, P.C. 401K RETIREMENT PLAN & TRUST 2011 631283028 2012-08-15 ALABAMA INFECTIOUS DISEASE CENTER, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2562657956
Plan sponsor’s address 420 LOWELL DRIVE SE, HUNTSVILLE, AL, 35801

Plan administrator’s name and address
Administrator’s EIN 631283028
Plan administrator’s name ALABAMA INFECTIOUS DISEASE CENTER, P.C.
Plan administrator’s address 420 LOWELL DRIVE SE, HUNTSVILLE, AL, 35801
Administrator’s telephone number 2562657956

Signature of
Role Plan administrator
Date 2012-08-15
Name of individual signing DR. ALI HASSOUN
ALABAMA INFECTIOUS DISEASE CENTER, P.C. 401K RETIREMENT PLAN & TRUST 2010 631283028 2011-09-09 ALABAMA INFECTIOUS DISEASE CENTER, P.C. 10
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2562657956
Plan sponsor’s address 420 LOWELL DRIVE SE, HUNTSVILLE, AL, 35801

Plan administrator’s name and address
Administrator’s EIN 631283028
Plan administrator’s name ALABAMA INFECTIOUS DISEASE CENTER, P.C.
Plan administrator’s address 420 LOWELL DRIVE SE, HUNTSVILLE, AL, 35801
Administrator’s telephone number 2562657956

Signature of
Role Plan administrator
Date 2011-09-09
Name of individual signing DR. ALI HASSOUN
ALABAMA INFECTIOUS DISEASE CENTER, P.C. 401K RETIREMENT PLAN & TRUST 2010 631283028 2011-09-12 ALABAMA INFECTIOUS DISEASE CENTER, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2562657956
Plan sponsor’s address 420 LOWELL DRIVE SE, HUNTSVILLE, AL, 35801

Plan administrator’s name and address
Administrator’s EIN 631283028
Plan administrator’s name ALABAMA INFECTIOUS DISEASE CENTER, P.C.
Plan administrator’s address 420 LOWELL DRIVE SE, HUNTSVILLE, AL, 35801
Administrator’s telephone number 2562657956

Signature of
Role Plan administrator
Date 2011-09-12
Name of individual signing DR. ALI HASSOUN
ALABAMA INFECTIOUS DISEASE CENTER, P.C. 401K RETIREMENT PLAN & TRUST 2009 631283028 2010-10-14 ALABAMA INFECTIOUS DISEASE CENTER, P.C. 9
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2562657956
Plan sponsor’s address 420 LOWELL DRIVE SE, HUNTSVILLE, AL, 35801

Plan administrator’s name and address
Administrator’s EIN 631283028
Plan administrator’s name ALABAMA INFECTIOUS DISEASE CENTER, P.C.
Plan administrator’s address 420 LOWELL DRIVE SE, HUNTSVILLE, AL, 35801
Administrator’s telephone number 2562657956

Signature of
Role Plan administrator
Date 2010-10-13
Name of individual signing JOHN DUNKEL
ALABAMA INFECTIOUS DISEASE CENTER, P.C. 401K RETIREMENT PLAN & TRUST 2009 631283028 2010-10-26 ALABAMA INFECTIOUS DISEASE CENTER, P.C. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2562657956
Plan sponsor’s address 420 LOWELL DRIVE SE, HUNTSVILLE, AL, 35801

Plan administrator’s name and address
Administrator’s EIN 631283028
Plan administrator’s name ALABAMA INFECTIOUS DISEASE CENTER, P.C.
Plan administrator’s address 420 LOWELL DRIVE SE, HUNTSVILLE, AL, 35801
Administrator’s telephone number 2562657956

Signature of
Role Plan administrator
Date 2010-10-26
Name of individual signing DR. JOHN DUNKEL
ALABAMA INFECTIOUS DISEASE CENTER, P.C. 401K RETIREMENT PLAN & TRUST 2009 631283028 2010-10-19 ALABAMA INFECTIOUS DISEASE CENTER, P.C. 9
Three-digit plan number (PN) 001
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2562657956
Plan sponsor’s address 420 LOWELL DRIVE SE, HUNTSVILLE, AL, 35801

Plan administrator’s name and address
Administrator’s EIN 631283028
Plan administrator’s name ALABAMA INFECTIOUS DISEASE CENTER, P.C.
Plan administrator’s address 420 LOWELL DRIVE SE, HUNTSVILLE, AL, 35801
Administrator’s telephone number 2562657956

Signature of
Role Plan administrator
Date 2010-10-19
Name of individual signing DR. JOHN DUNKEL

Agent

Name Role
DUNKEL, JOHN D Agent

Incorporator

Name Role Address
DUNKEL, JOHN D Incorporator No data
SPERA, RICHARD V Incorporator 2061 DUG HILL RDBROWNSBORO, AL 35741

Related by officers

DUNKEL, JOHN D

Alabama Infectious Disease Investments, LLC

SPERA, RICHARD V

VICTORIA FARMS, LLC Alabama Center for Infectious Disease, P.C. Alabama Infectious Disease Investments, LLC

Related by address

HUNTSVILLE, AL

Frank Dawson Realty Co., Inc. AAA Drapery & Interiors, Inc. A & C Termite and Pest Control Co., Inc. Action Alarm Systems of Alabama Acuff, Wilmer & Co., Inc. Alabama Bike Shop, Inc. Alabama Hide & Tallow Company Alabama Homes Distributors, Inc. Alabama Motorcycle Sales, Incorporated The Spencer Companies Incorporated

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State

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