Haleyville Medical Associates, Inc.

Details

Name:	Haleyville Medical Associates, Inc.
Jurisdiction:	Alabama
Legal type:	Domestic Corporation
Status:	Exists
Date of registration:	01 Jul 2005 (19 years ago) (Companies founded in July 2005)
Entity Number:	000-242-261
Register Number:	000242261
ZIP code:	35565 (Companies in Winston, 35565)
County:	Winston
Place of Formation:	Winston County
Principal Address:	HALEYVILLE, AL
Registered Office Street Address:	1051 CHICKAKEE RDHALEYVILLE, AL 35565
Authorized Capital:	$250
Paid Share Capital:	$10

Activities ANY LAWFUL ACTIVITY

National Provider Identifier

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1104922368

2006-09-15

2012-10-01

42320 HWY 195, HALEYVILLE, AL, 355657015, US

Contacts

Phone	+1 205-486-8899
Fax	2054868908

Authorized person

Name	VIJAYA V REDDY
Role	PRACTICE MANAGER
Phone	2054868899

Taxonomy

Taxonomy Code	207Q00000X - Family Medicine Physician
Is Primary	Yes

Other Provider Identifiers

Issuer	MEDICAID
Number	GR#529925490
State	AL

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

FAMILY MEDICAL ASSOCIATES 401(K) PLAN

2023

203025473

2024-05-29

HALEYVILLE MEDICAL ASSOCIATES, INC.

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2006-01-01
Business code	111100
Sponsor’s telephone number	2054868899
Plan sponsor’s address	42320 HIGHWAY 195, HALEYVILLE, AL, 35565

Signature of

Role	Plan administrator
Date	2024-05-29
Name of individual signing	VIJAYA REDDY

Role	Employer/plan sponsor
Date	2024-05-29
Name of individual signing	VIJAYA REDDY

Agent

Name	Role	Address
LONG, JEFFREY W	Agent	42320 HIGHWAY 195HALEYVILLE, AL 35565

Incorporator

Name	Role	Address
LONG, JEFFREY W	Incorporator	42320 HIGHWAY 195HALEYVILLE, AL 35565
REDDY, VENKATAPURAM RAMESH	Incorporator	No data
RAGLAND, VANESSA	Incorporator	No data

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State