Menu
Search icon

Scottsboro Family Physicians, P.C.

Details

Name: Scottsboro Family Physicians, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 06 Aug 2007 (17 years ago)
Entity Number: 000-253-803
Register Number: 000253803
County: Jackson
Place of Formation: Jackson County
Principal Address: SCOTTSBORO, AL 35768
Principal Address ZIP Code: 35768
Registered Office Street Address: 1108 BROAD ST STE ASCOTTSBORO, AL 35768
Registered Office Street Address ZIP Code: 35768
Authorized Capital: $1,000

Activities PRACTICE MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1700365756 2018-08-10 2020-11-03 1302 S BROAD ST, SCOTTSBORO, AL, 357682605, US 79 BANK ST, STEVENSON, AL, 357723781, US

Contacts
Phone +1 256-218-4080
Fax 2562183147
Phone +1 256-548-3104
Fax 2565483106

Authorized person
Name JENNIFER COOKE WHITE
Role MD/OWNER
Phone 2562184080

Taxonomy
Taxonomy Code 261QP2300X - Primary Care Clinic/Center
Is Primary No
Taxonomy Code 261QR1300X - Rural Health Clinic/Center
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SCOTTSBORO FAMILY PHYSICIANS 401 (K) PLAN 2020 260459228 2021-07-08 SCOTTSBORO FAMILY PHYSICIANS 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 541990
Sponsor’s telephone number 2562184080
Plan sponsor’s address 1302 S BROAD ST, SCOTTSBORO, AL, 357682605

Signature of
Role Plan administrator
Date 2021-07-08
Name of individual signing JENNIFER C. WHITE
SCOTTSBORO FAMILY PHYSICIANS 401 (K) PLAN 2019 260459228 2020-07-28 SCOTTSBORO FAMILY PHYSICIANS 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 541990
Sponsor’s telephone number 2562184080
Plan sponsor’s address 1302 S BROAD ST, SCOTTSBORO, AL, 357682605

Signature of
Role Plan administrator
Date 2020-07-28
Name of individual signing JENNIFER C. WHITE
SCOTTSBORO FAMILY PHYSICIANS 401 (K) PLAN 2018 260459228 2019-07-29 SCOTTSBORO FAMILY PHYSICIANS 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 541990
Sponsor’s telephone number 2562184080
Plan sponsor’s address 1302 S BROAD ST, SCOTTSBORO, AL, 357682605

Signature of
Role Plan administrator
Date 2019-07-29
Name of individual signing JENNIFER C. WHITE
SCOTTSBORO FAMILY PHYSICIANS 401 (K) PLAN 2017 260459228 2018-08-22 SCOTTSBORO FAMILY PHYSICIANS 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 541990
Sponsor’s telephone number 2562184080
Plan sponsor’s address 1302 S BROAD ST, SCOTTSBORO, AL, 357682605

Signature of
Role Plan administrator
Date 2018-08-22
Name of individual signing JENNIFER C. WHITE
SCOTTSBORO FAMILY PHYSICIANS 401 (K) PLAN 2016 260459228 2017-09-13 SCOTTSBORO FAMILY PHYSICIANS 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 541990
Sponsor’s telephone number 2562184080
Plan sponsor’s address 1302 SOUTH BROAD ST, SCOTTSBORO, AL, 357682605

Signature of
Role Plan administrator
Date 2017-09-13
Name of individual signing JENNIFER C. WHITE
SCOTTSBORO FAMILY PHYSICIANS 401 (K) PLAN 2015 260459228 2016-09-07 SCOTTSBORO FAMILY PHYSICIANS 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 541990
Sponsor’s telephone number 2562184080
Plan sponsor’s address 1302 S BROAD ST, SCOTTSBORO, AL, 357682605

Signature of
Role Plan administrator
Date 2016-09-07
Name of individual signing JENNIFER C. WHITE
SCOTTSBORO FAMILY PHYSICIANS 401 (K) PLAN 2014 260459228 2015-09-30 SCOTTSBORO FAMILY PHYSICIANS 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 541990
Sponsor’s telephone number 2562184080
Plan sponsor’s address 1108 S BROAD ST STE A, SCOTTSBORO, AL, 357682605

Signature of
Role Plan administrator
Date 2015-09-30
Name of individual signing JENNIFER C. WHITE
SCOTTSBORO FAMILY PHYSICIANS 401 (K) PLAN 2013 260459228 2014-10-13 SCOTTSBORO FAMILY PHYSICIANS 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 111100
Sponsor’s telephone number 2562184080
Plan sponsor’s address 1108 S BROAD ST STE A, SCOTTSBORO, AL, 357682514

Signature of
Role Plan administrator
Date 2014-10-13
Name of individual signing JENNIFER C WHITE MD
SCOTTSBORO FAMILY PHYSICIANS 401 (K) PLAN 2012 260459228 2013-10-10 SCOTTSBORO FAMILY PHYSICIANS 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 111100
Sponsor’s telephone number 2562184080
Plan sponsor’s address 1108 S BROAD ST STE A, ATTN DR. JENNIFER C WHITE, SCOTTSBORO, AL, 357682514

Signature of
Role Plan administrator
Date 2013-10-10
Name of individual signing JENNIFER C WHITE MD
SCOTTSBORO FAMILY PHYSICIANS 401 (K) PLAN 2011 260459228 2012-07-25 SCOTTSBORO FAMILY PHYSICIANS 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 812990
Sponsor’s telephone number 2562184080
Plan sponsor’s address 1108 S BROAD ST STE A, ATTN DR. JENNIFER C WHITE, SCOTTSBORO, AL, 357682514

Plan administrator’s name and address
Administrator’s EIN 260459228
Plan administrator’s name SCOTTSBORO FAMILY PHYSICIANS
Plan administrator’s address 1108 S BROAD ST STE A, ATTN DR. JENNIFER C WHITE, SCOTTSBORO, AL, 357682514
Administrator’s telephone number 2562184080

Signature of
Role Plan administrator
Date 2012-07-25
Name of individual signing JENNIFER C WHITE MD

Agent

Name Role Address
WHITE, JENNIFER C Agent 38 CREEK CIRCLESCOTTSBORO, AL 35769

Incorporator

Name Role Address
FREDERICK, PAUL Incorporator 655 GALLATIN STREETHUNTSVILLE, AL 35801

Related by officers

WHITE, JENNIFER C

CoraLes Properties, LLC

FREDERICK, PAUL

Timco, LLC North Alabama Association of Licensed Psychologists,Incorporated Blue Lasers '85 Cricket Cove Homeowners Association, Inc. Red's Restaurants, Inc. University AMC Jeep Renault, Inc. ViChem Corporation Home Nursing and Intravenous Care, Inc. Home I.V. and Parenteral/Enteral Services, Inc. FDR Plastic Products, Inc., a close corporation

Related by address

SCOTTSBORO, AL 35768

Rosalie Missionary Baptist Church B. J. Associates, Incorporated Alabama Childcare Trust, Inc. JAY KALIMA CORPORATION Hubb Motor Company, Inc.

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2024 alabamacompanysearch.com