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Center for Digestive Health, P.C.

Details

Name: Center for Digestive Health, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 26 Oct 2004 (20 years ago)
Entity Number: 000-238-004
Register Number: 000238004
County: Madison
Place of Formation: Madison County
Principal Address: HUNTSVILLE, AL
Registered Office Street Address: 7738 MADISON BLVDHUNTSVILLE, AL 35806
Registered Office Street Address ZIP Code: 35806
Authorized Capital: $1,000
Paid Share Capital: $1,000

Activities MEDICINE PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1396803680 2006-12-05 2009-12-14 420 LOWELL DRIVE SE, SUITE 103, HUNTSVILLE, AL, 35801, US 7738 MADSON BOULEVARD, HUNTSVILLE, AL, 35806, US

Contacts
Phone +1 256-535-5940
Fax 2565355954
Phone +1 256-430-4427
Fax 2564304335

Authorized person
Name MICHAEL P DOHRENWEND
Role PRESIDENT
Phone 2564304427

Taxonomy
Taxonomy Code 207RG0100X - Gastroenterology Physician
License Number 16209
State AL
Is Primary Yes

Other Provider Identifiers
Issuer BLUE CROSS BLUE SHIELD
Number 51525690
State AL
Issuer MEDICAID
Number 051525690
State AL
Issuer MEDICARE GROUP PIN
Number K225

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CENTER FOR DIGESTIVE HEALTH RETIREMENT PLAN 2022 331103393 2023-05-19 CENTER FOR DIGESTIVE HEALTH 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2564688117
Plan sponsor’s address 106 AUTUMN WIND DR, MADISON, AL, 357588006

Signature of
Role Plan administrator
Date 2023-05-19
Name of individual signing MICHAEL DOHRENWEND
Role Employer/plan sponsor
Date 2023-05-19
Name of individual signing MICHAEL DOHRENWEND
CENTER FOR DIGESTIVE HEALTH RETIREMENT PLAN 2022 331103393 2023-08-25 CENTER FOR DIGESTIVE HEALTH 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2564688117
Plan sponsor’s address 106 AUTUMN WIND DR, MADISON, AL, 357588006

Signature of
Role Plan administrator
Date 2023-08-25
Name of individual signing MICHAEL DOHRENWEND
Role Employer/plan sponsor
Date 2023-08-25
Name of individual signing MICHAEL DOHRENWEND
CENTER FOR DIGESTIVE HEALTH RETIREMENT PLAN 2021 331103393 2022-09-21 CENTER FOR DIGESTIVE HEALTH 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2564304427
Plan sponsor’s address 7738 MADISON BLVD., HUNTSVILLE, AL, 358062085

Signature of
Role Plan administrator
Date 2022-09-21
Name of individual signing MICHAEL DOHRENWEND
Role Employer/plan sponsor
Date 2022-09-21
Name of individual signing MICHAEL DOHRENWEND
CENTER FOR DIGESTIVE HEALTH RETIREMENT PLAN 2020 331103393 2021-07-07 CENTER FOR DIGESTIVE HEALTH 5
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2564604427
Plan sponsor’s address 7738-B MADISON BOULEVARD, HUNTSVILLE, AL, 358062085

Signature of
Role Plan administrator
Date 2021-07-07
Name of individual signing JEANNE MOORER
CENTER FOR DIGESTIVE HEALTH RETIREMENT PLAN 2020 331103393 2021-09-14 CENTER FOR DIGESTIVE HEALTH 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2564604427
Plan sponsor’s address 7738-B MADISON BOULEVARD, HUNTSVILLE, AL, 358062085

Signature of
Role Plan administrator
Date 2021-09-14
Name of individual signing JEANNE MOORER
CENTER FOR DIGESTIVE HEALTH RETIREMENT PLAN 2019 331103393 2020-10-13 CENTER FOR DIGESTIVE HEALTH 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2564304427
Plan sponsor’s address 77388 MADISON BLVD, HUNTSVILLE, AL, 358062085

Signature of
Role Plan administrator
Date 2020-10-13
Name of individual signing DR. MICHAEL DOHRENWEND
CENTER FOR DIGESTIVE HEALTH RETIREMENT PLAN 2018 331103393 2019-10-13 CENTER FOR DIGESTIVE HEALTH 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2564304427
Plan sponsor’s address 7738-B MADISON BOULEVARD, HUNTSVILLE, AL, 358062085

Signature of
Role Plan administrator
Date 2019-10-13
Name of individual signing DR. MICHAEL DOHRENWEND
CENTER FOR DIGESTIVE HEALTH RETIREMENT PLAN 2017 331103393 2018-08-22 CENTER FOR DIGESTIVE HEALTH 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2564304427
Plan sponsor’s address 7738-B MADISON BOULEVARD, HUNTSVILLE, AL, 358062085

Signature of
Role Plan administrator
Date 2018-08-22
Name of individual signing DR. MICHAEL DOHRENWEND
CENTER FOR DIGESTIVE HEALTH RETIREMENT PLAN 2016 331103393 2017-05-25 CENTER FOR DIGESTIVE HEALTH 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2564304427
Plan sponsor’s address 7738-B MADISON BOULEVARD, HUNTSVILLE, AL, 358062085

Signature of
Role Plan administrator
Date 2017-05-25
Name of individual signing MICHAEL DOHRENWEND
CENTER FOR DIGESTIVE HEALTH RETIREMENT PLAN 2015 331103393 2016-05-03 CENTER FOR DIGESTIVE HEALTH 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2004-01-01
Business code 621111
Sponsor’s telephone number 2564304427
Plan sponsor’s address 7738-B MADISON BOULEVARD, HUNTSVILLE, AL, 358062085

Signature of
Role Plan administrator
Date 2016-05-03
Name of individual signing MICHAEL DOHRENWEND

Agent

Name Role
DOHRENWEND, MICHAEL P Agent

Incorporator

Name Role
DOHRENWEND, MICHAEL P Incorporator

Related by officers

DOHRENWEND, MICHAEL P

87 Yankee, LLC South Madison Realty, LLC

Related by address

HUNTSVILLE, AL

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7738 MADISON BLVDHUNTSVILLE, AL 35806

87 Yankee, LLC South Madison Realty, LLC

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State

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