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Internal Medicine Associates of Montgomery, P.C.

Details

Name: Internal Medicine Associates of Montgomery, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 27 Dec 2001 (23 years ago)
Entity Number: 000-220-362
Register Number: 000220362
County: Montgomery
Place of Formation: Montgomery County
Principal Address: MONTGOMERY, AL
Registered Office Street Address: 2055 EAST SOUTH BLVD STE 403MONTGOMERY, AL 36116
Registered Office Street Address ZIP Code: 36116
Authorized Capital: $2,000

Activities INTERNAL MEDICINE/FAMILY PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1720106859 2007-03-27 2017-01-09 6940 WINTON BLOUNT BLVD, MONTGOMERY, AL, 361173556, US 6940 WINTON BLOUNT BLVD, MONTGOMERY, AL, 361173556, US

Contacts
Phone +1 334-279-9211
Fax 3342799925

Authorized person
Name MRS. CANDACE BRIDGES
Role OFFICE MANAGER
Phone 3342799211

Taxonomy
Taxonomy Code 174400000X - Specialist
Is Primary Yes

Other Provider Identifiers
Issuer RAILROAD MEDICARE
Number CK4854
State AL
Issuer MEDICAID
Number 528600110
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
INTERNAL MEDICINE ASSOCIATES OF MONTGOMERY P.C. 401(K) PLAN 2023 010707390 2024-04-03 INTERNAL MEDICINE ASSOCIATES OF MONTGOMERY P.C. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-11-01
Business code 621111
Sponsor’s telephone number 3342799211
Plan sponsor’s address 6940 WINTON BLOUNT BOULEVARD, MONTGOMERY, AL, 36117

Signature of
Role Plan administrator
Date 2024-04-03
Name of individual signing DENNIS WOODLING
INTERNAL MEDICINE ASSOCIATES OF MONTGOMERY P.C. 401(K) PLAN 2022 010707390 2023-03-23 INTERNAL MEDICINE ASSOCIATES OF MONTGOMERY P.C. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-11-01
Business code 621111
Sponsor’s telephone number 3342799211
Plan sponsor’s address 6940 WINTON BLOUNT BOULEVARD, MONTGOMERY, AL, 36117

Signature of
Role Plan administrator
Date 2023-03-23
Name of individual signing DENNIS WOODLING
INTERNAL MEDICINE ASSOCIATES OF MONTGOMERY, P.C. 401(K) PLAN 2021 010707390 2022-05-31 INTERNAL MEDICINE ASSOCIATES OF MONTGOMERY, P.C. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-11-01
Business code 621111
Sponsor’s telephone number 3342799211
Plan sponsor’s address 6940 WINTON BLOUNT BOULEVARD, MONTGOMERY, AL, 36117
INTERNAL MEDICINE ASSOCIATES OF MONTGOMERY, P.C. 401(K) PLAN 2020 010707390 2021-04-02 INTERNAL MEDICINE ASSOCIATES OF MONTGOMERY, P.C. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-11-01
Business code 621111
Sponsor’s telephone number 3342799211
Plan sponsor’s address 6940 WINTON BLOUNT BOULEVARD, MONTGOMERY, AL, 36117
INTERNAL MEDICINE ASSOCIATES OF MONTGOMERY, P.C. 401(K) PLAN 2019 010707390 2020-07-27 INTERNAL MEDICINE ASSOCIATES OF MONTGOMERY, P.C. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-11-01
Business code 621111
Sponsor’s telephone number 3342799211
Plan sponsor’s address 6940 WINTON BLOUNT BOULEVARD, MONTGOMERY, AL, 36117
INTERNAL MEDICINE ASSOCIATES OF MONTGOMERY, P.C. 401(K) PLAN 2018 010707390 2019-06-07 INTERNAL MEDICINE ASSOCIATES OF MONTGOMERY, P.C. 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-11-01
Business code 621111
Sponsor’s telephone number 3342799211
Plan sponsor’s address 6940 WINTON BLOUNT BOULEVARD, MONTGOMERY, AL, 36117
INTERNAL MEDICINE ASSOCIATES OF MONTGOMERY, P.C. 401(K) PLAN 2017 010707390 2018-06-14 INTERNAL MEDICINE ASSOCIATES OF MONTGOMERY, P.C. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-11-01
Business code 621111
Sponsor’s telephone number 3342799211
Plan sponsor’s address 6940 WINTON BLOUNT BOULEVARD, MONTGOMERY, AL, 36117
INTERNAL MEDICINE ASSOCIATES OF MONTGOMERY, P.C. 401(K) PLAN 2016 010707390 2017-03-24 INTERNAL MEDICINE ASSOCIATES OF MONTGOMERY, P.C. 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-11-01
Business code 621111
Sponsor’s telephone number 3342799211
Plan sponsor’s address 6940 WINTON BLOUNT BOULEVARD, MONTGOMERY, AL, 36117
INTERNAL MEDICINE ASSOCIATES OF MONTGOMERY, P.C. 401(K) PLAN 2015 010707390 2016-07-07 INTERNAL MEDICINE ASSOCIATES OF MONTGOMERY, P.C. 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-11-01
Business code 621111
Sponsor’s telephone number 3342799211
Plan sponsor’s address 6940 WINTON BLOUNT BOULEVARD, MONTGOMERY, AL, 36117
INTERNAL MEDICINE ASSOCIATES OF MONTGOMERY, P.C. 401(K) PLAN 2014 010707390 2015-03-12 INTERNAL MEDICINE ASSOCIATES OF MONTGOMERY, P.C. 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1987-11-01
Business code 621111
Sponsor’s telephone number 3342799211
Plan sponsor’s address 6940 WINTON BLOUNT BOULEVARD, MONTGOMERY, AL, 36117

Agent

Name Role
BARKSDALE, COBB R Agent

Incorporator

Name Role
DAILEY, W JONATHAN Incorporator
BARKSDALE, COBB R Incorporator
BROWN, H WALKER Incorporator

Related by officers

BARKSDALE, COBB R

Medical Building Associates, LLC

BROWN, H WALKER

Drs. Brown & Yow, P.C. H. Walker Brown, M.D., P.C.

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Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State

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