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Wetumpka Hospitalists, P.C.

Details

Name: Wetumpka Hospitalists, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 18 Sep 2007 (17 years ago)
Entity Number: 000-254-535
Register Number: 000254535
County: Elmore
Place of Formation: Elmore County
Principal Address: WETUMPKA, AL
Registered Office Street Address: 74186 TALLASSEE HWY STE BWETUMPKA, AL 36092
Registered Office Street Address ZIP Code: 36092
Authorized Capital: $1,000

Activities MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1235327503 2007-10-11 2008-05-12 2257 TAYLOR RD, SUITE 200, MONTGOMERY, AL, 361177790, US 74186 TALLASSEE HWY, WETUMPKA, AL, 360925643, US

Contacts

Phone +1 334-270-9174
Fax 3342703195
Phone +1 334-315-0420

Authorized person

Name DR. RONALDO V. DEJESUS
Role PRESIDENT
Phone 3343150420

Taxonomy

Taxonomy Code 208M00000X - Hospitalist Physician
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
WETUMPKA HOSPITALISTS, P. C. DEFINED BENEFIT PENSION PLAN 2016 261108104 2017-08-18 WETUMPKA HOSPITALISTS, P. C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 3345675626
Plan sponsor’s address 770 ALABAMA HIGHWAY 170, WETUMPKA, AL, 36092

Signature of

Role Plan administrator
Date 2017-08-18
Name of individual signing WANDA S JONES
WETUMPKA HOSPITALISTS, P. C. DEFINED BENEFIT PENSION PLAN 2015 261108104 2016-08-16 WETUMPKA HOSPITALISTS, P. C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 3345675626
Plan sponsor’s address 770 ALABAMA HIGHWAY 170, WETUMPKA, AL, 36092

Signature of

Role Plan administrator
Date 2016-08-15
Name of individual signing WANDA S JONES
WETUMPKA HOSPITALISTS, P. C. DEFINED BENEFIT PENSION PLAN 2014 261108104 2015-09-30 WETUMPKA HOSPITALISTS, P. C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 3345675626
Plan sponsor’s address 770 ALABAMA HIGHWAY 170, WETUMPKA, AL, 36092

Signature of

Role Plan administrator
Date 2015-09-30
Name of individual signing WANDA S JONES
WETUMPKA HOSPITALISTS, P. C. DEFINED BENEFIT PENSION PLAN 2013 261108104 2014-10-08 WETUMPKA HOSPITALISTS, P. C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 3345675626
Plan sponsor’s address 770 ALABAMA HIGHWAY 170, WETUMPKA, AL, 36092

Signature of

Role Plan administrator
Date 2014-10-08
Name of individual signing WANDA S JONES
WETUMPKA HOSPITALISTS, P. C. DEFINED BENEFIT PENSION PLAN 2012 261108104 2013-07-22 WETUMPKA HOSPITALISTS, P. C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 3345675626
Plan sponsor’s address 770 ALABAMA HIGHWAY 170, WETUMPKA, AL, 36092

Signature of

Role Plan administrator
Date 2013-07-22
Name of individual signing WANDA S JONES
WETUMPKA HOSPITALISTS, P. C. DEFINED BENEFIT PENSION PLAN 2011 261108104 2012-05-12 WETUMPKA HOSPITALISTS, P. C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 3345675626
Plan sponsor’s address 41 CAMBRIDGE COURT, WETUMPKA, AL, 36093

Plan administrator’s name and address

Administrator’s EIN 261108104
Plan administrator’s name WETUMPKA HOSPITALISTS, P. C.
Plan administrator’s address 41 CAMBRIDGE COURT, WETUMPKA, AL, 36093
Administrator’s telephone number 3345675626

Signature of

Role Plan administrator
Date 2012-05-11
Name of individual signing WANDA S JONES
WETUMPKA HOSPITALISTS, P. C. DEFINED BENEFIT PENSION PLAN 2010 261108104 2011-09-01 WETUMPKA HOSPITALISTS, P. C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 3345675626
Plan sponsor’s address 41 CAMBRIDGE COURT, WETUMPKA, AL, 36093

Plan administrator’s name and address

Administrator’s EIN 261108104
Plan administrator’s name WETUMPKA HOSPITALISTS, P. C.
Plan administrator’s address 41 CAMBRIDGE COURT, WETUMPKA, AL, 36093
Administrator’s telephone number 3345675626

Signature of

Role Plan administrator
Date 2011-09-01
Name of individual signing WANDA S. JONES
WETUMPKA HOSPITALISTS, P. C. DEFINED BENEFIT PENSION PLAN 2009 261108104 2010-10-06 WETUMPKA HOSPITALISTS, P. C. 3
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2009-01-01
Business code 621111
Sponsor’s telephone number 3345675626
Plan sponsor’s address 74186 TALLASSEE HIGHWAY, SUITE B, WETUMPKA, AL, 36092

Plan administrator’s name and address

Administrator’s EIN 261108104
Plan administrator’s name WETUMPKA HOSPITALISTS, P. C.
Plan administrator’s address 74186 TALLASSEE HIGHWAY, SUITE B, WETUMPKA, AL, 36092
Administrator’s telephone number 3345675626

Signature of

Role Plan administrator
Date 2010-10-06
Name of individual signing RONALDO DEJESUS

Agent

Name Role
DEJESUS, RONALDO V Agent

Incorporator

Name Role
DEJESUS, RONALDO V Incorporator

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State