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Complete Women's Care of Alabama, P.C.

Details

Name: Complete Women's Care of Alabama, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 15 Jul 2004 (20 years ago) (Companies founded in July 2004)
Entity Number: 000-236-359
Register Number: 000236359
Historical Names: Medical Practice, Inc.
Shelby OB/Gyn, P.C.
Place of Formation: Shelby County
Registered Office Street Address: 101 FIRST ST NORTH STE 350ALABASTER, AL 35007-8619
Authorized Capital: $10,000

Activities MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1770627929 2007-02-19 2022-07-25 1010 1ST ST N, SUITE 350, ALABASTER, AL, 350078608, US 1010 1ST ST N, SUITE 350, ALABASTER, AL, 350078608, US

Contacts

Phone +1 205-664-9995
Fax 2056219327

Authorized person

Name DR. JAMES L HEAD
Role PRESIDENT
Phone 2056649995

Taxonomy

Taxonomy Code 207V00000X - Obstetrics & Gynecology Physician
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 529920720
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
COMPLETE WOMEN'S CARE OF ALABAMA, P.C. 401(K) PROFIT SHARING PLAN 2023 201362597 2024-04-12 COMPLETE WOMEN'S CARE OF ALABAMA, P.C. 74
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2056649995
Plan sponsor’s address 408 FIRST STREET NORTH, SUITE 200, ALABASTER, AL, 350078619
COMPLETE WOMEN'S CARE OF ALABAMA, P.C. 401(K) PROFIT SHARING PLAN 2022 201362597 2023-07-24 COMPLETE WOMEN'S CARE OF ALABAMA, P.C. 75
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2056649995
Plan sponsor’s address 408 FIRST STREET NORTH, SUITE 200, ALABASTER, AL, 350078619
SHELBY OB/GYN, P.C. 401(K) PROFIT SHARING PLAN 2021 201362597 2022-07-13 SHELBY OB/GYN, P.C. 72
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2056649995
Plan sponsor’s address 408 FIRST STREET NORTH, SUITE 200, ALABASTER, AL, 350078619
SHELBY OB/GYN, P.C. 401(K) PROFIT SHARING PLAN 2020 201362597 2021-10-07 SHELBY OB/GYN, P.C. 68
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2056649995
Plan sponsor’s address 408 FIRST STREET NORTH, SUITE 200, ALABASTER, AL, 350078619
SHELBY OB/GYN, P.C. 401(K) PROFIT SHARING PLAN 2019 201362597 2020-07-20 SHELBY OB/GYN, P.C. 60
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2056649995
Plan sponsor’s address 408 FIRST STREET NORTH, SUITE 200, ALABASTER, AL, 350078619
SHELBY OB/GYN, P.C. 401(K) PROFIT SHARING PLAN 2018 201362597 2019-07-25 SHELBY OB/GYN, P.C. 57
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2056649995
Plan sponsor’s address 408 FIRST STREET NORTH, SUITE 200, ALABASTER, AL, 350078619
SHELBY OB/GYN, P.C. 401(K) PROFIT SHARING PLAN 2017 201362597 2018-07-30 SHELBY OB/GYN, P.C. 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2056649995
Plan sponsor’s address 408 FIRST STREET NORTH, SUITE 200, ALABASTER, AL, 350078619

Signature of

Role Plan administrator
Date 2018-07-30
Name of individual signing JAMES L. HEAD, M.D.
SHELBY OB/GYN, P.C. 401(K) PROFIT SHARING PLAN 2016 201362597 2017-07-31 SHELBY OB/GYN, P.C. 55
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2056649995
Plan sponsor’s address 408 FIRST STREET NORTH, SUITE 200, ALABASTER, AL, 350078619

Signature of

Role Plan administrator
Date 2017-07-31
Name of individual signing JAMES L. HEAD, M.D.
Role Employer/plan sponsor
Date 2017-07-31
Name of individual signing JAMES L. HEAD, M.D.
SHELBY OB/GYN, P.C. 401(K) PROFIT SHARING PLAN 2015 201362597 2016-06-29 SHELBY OB/GYN, P.C. 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2056649995
Plan sponsor’s address 408 FIRST STREET NORTH, SUITE 200, ALABASTER, AL, 350078619

Signature of

Role Plan administrator
Date 2016-06-28
Name of individual signing JAMES L. HEAD, M.D.
Role Employer/plan sponsor
Date 2016-06-28
Name of individual signing JAMES L. HEAD, M.D.
SHELBY OB/GYN, P.C. 401(K) PROFIT SHARING PLAN 2014 201362597 2015-07-10 SHELBY OB/GYN, P.C. 45
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2056649995
Plan sponsor’s address 408 FIRST STREET NORTH, SUITE 200, ALABASTER, AL, 350078619

Signature of

Role Plan administrator
Date 2015-07-09
Name of individual signing JAMES L. HEAD, M.D.
Role Employer/plan sponsor
Date 2015-07-09
Name of individual signing JAMES L. HEAD, M.D.

Agent

Name Role Address
HEAD, JAMES L Agent 408 1ST STREET NORTH,SUITE 200ALABASTER, AL 35007

Incorporator

Name Role Address
LEVITT, RONALD A Incorporator PO BOX 55727BIRMINGHAM, AL 35255-5727

Events

Event Date Event Type Old Value New Value
2021-06-14 Name Change Shelby OB/Gyn, P.C. Complete Women's Care of Alabama, P.C.
2004-08-05 Name Change Medical Practice, Inc. Shelby OB/Gyn, P.C.

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State