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Medical East of Decatur, Inc.

Details

Name: Medical East of Decatur, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 22 Dec 2008 (16 years ago) (Companies founded in December 2008)
Entity Number: 000-259-538
Register Number: 000259538
ZIP code: 35603 (Companies in Morgan, 35603)
County: Morgan
Place of Formation: Morgan County
Principal Address: DECATUR, AL
Registered Office Street Address: 2941 POINT MALLARD PKWY STE ADECATUR, AL 35603
Authorized Capital: $10,000

Activities GENERAL/URGENT MEDICAL CARE SERVICE

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
K5XGT5ZWU729 2024-10-26 2941 POINT MALLARD PKWY SE, DECATUR, AL, 35603, 5716, USA 2941 POINT MALLARD PKWY SE, DECATUR, AL, 35603, 5716, USA

Business Information
Congressional District 05
State/Country of Incorporation AL, USA
Activation Date 2023-10-31
Initial Registration Date 2022-12-19
Entity Start Date 2009-01-08
Fiscal Year End Close Date Dec 31

Points of Contacts
Electronic Business
Title PRIMARY POC
Name MICHELLE GRAHAM
Address 2941 POINT MALLARD PKWY, DECATUR, AL, 35603, USA
Government Business
Title PRIMARY POC
Name MICHELLE GRAHAM
Address 2941 POINT MALLARD PKWY, DECATUR, AL, 35603, USA
Past Performance Information not Available

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1700238508 2016-07-06 2016-11-16 2941 POINT MALLARD PKWY SE, DECATUR, AL, 356035716, US 4166 HIGHWAY 36 E, SOMERVILLE, AL, 356705803, US

Contacts
Phone +1 256-432-2822
Fax 2564322825
Phone +1 256-778-7172
Fax 2567788910

Authorized person
Name JEANNE D LINDSAY
Role OFFICE MANAGER
Phone 2564322822

Taxonomy
Taxonomy Code 363LF0000X - Family Nurse Practitioner
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MEDICAL EAST OF DECATUR, INC. 401K PLAN 2023 263995821 2024-05-16 MEDICAL EAST OF DECATUR, INC. 49
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-10-01
Business code 621399
Sponsor’s telephone number 2564322822
Plan sponsor’s address 2941 POINT MALLARD PKWY SE, SUITE A, DECATUR, AL, 35603

Signature of
Role Plan administrator
Date 2024-05-16
Name of individual signing KIM HARBIN
MEDICAL EAST OF DECATUR, INC. 401K PLAN 2022 263995821 2023-06-29 MEDICAL EAST OF DECATUR, INC. 43
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-10-01
Business code 621399
Sponsor’s telephone number 2564322822
Plan sponsor’s address 2941 POINT MALLARD PKWY SE, SUITE A, DECATUR, AL, 35603

Signature of
Role Plan administrator
Date 2023-06-29
Name of individual signing KIM HARBIN
MEDICAL EAST OF DECATUR, INC. 401K PLAN 2021 263995821 2022-07-13 MEDICAL EAST OF DECATUR, INC. 37
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-10-01
Business code 621399
Sponsor’s telephone number 2564322822
Plan sponsor’s address 2941 POINT MALLARD PKWY SE, SUITE A, DECATUR, AL, 35603

Signature of
Role Plan administrator
Date 2022-07-13
Name of individual signing KIM HARBIN
MEDICAL EAST OF DECATUR, INC. 401K PLAN 2020 263995821 2021-10-14 MEDICAL EAST OF DECATUR, INC. 29
Three-digit plan number (PN) 001
Effective date of plan 2015-10-01
Business code 621399
Sponsor’s telephone number 2564322822
Plan sponsor’s address 2941 POINT MALLARD PKWY SE, SUITE A, DECATUR, AL, 35603

Signature of
Role Plan administrator
Date 2021-10-14
Name of individual signing KIM HARBIN
MEDICAL EAST OF DECATUR, INC. 401K PLAN 2020 263995821 2021-12-07 MEDICAL EAST OF DECATUR, INC. 29
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-10-01
Business code 621399
Sponsor’s telephone number 2564322822
Plan sponsor’s address 2941 POINT MALLARD PKWY SE, SUITE A, DECATUR, AL, 35603

Signature of
Role Plan administrator
Date 2021-12-07
Name of individual signing KIM HARBIN
MEDICAL EAST OF DECATUR, INC. 401K PLAN 2019 263995821 2020-09-21 MEDICAL EAST OF DECATUR, INC. 27
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-10-01
Business code 621399
Sponsor’s telephone number 2564322822
Plan sponsor’s address 2941 POINT MALLARD PKWY SE, SUITE A, DECATUR, AL, 35603

Signature of
Role Plan administrator
Date 2020-09-21
Name of individual signing KIM HARBIN
MEDICAL EAST OF DECATUR, INC. 401K PLAN 2018 263995821 2019-07-25 MEDICAL EAST OF DECATUR, INC. 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-10-01
Business code 621399
Sponsor’s telephone number 2564322822
Plan sponsor’s address 2941 POINT MALLARD PKWY SE, SUITE A, DECATUR, AL, 35603

Signature of
Role Plan administrator
Date 2019-07-25
Name of individual signing KIM HARBIN
MEDICAL EAST OF DECATUR, INC. 401K PLAN 2017 263995821 2018-07-31 MEDICAL EAST OF DECATUR, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-10-01
Business code 621399
Sponsor’s telephone number 2564322822
Plan sponsor’s address 2941 POINT MALLARD PKWY SE, SUITE A, DECATUR, AL, 35603

Signature of
Role Plan administrator
Date 2018-07-31
Name of individual signing KIM HARBIN
MEDICAL EAST OF DECATUR, INC. 401K PLAN 2016 263995821 2017-10-13 MEDICAL EAST OF DECATUR, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-10-01
Business code 621498
Sponsor’s telephone number 2564322822
Plan sponsor’s address 2941 POINT MALLARD PKWY SE, SUITE A, DECATUR, AL, 35603

Signature of
Role Plan administrator
Date 2017-10-13
Name of individual signing KIM HARBIN
Role Employer/plan sponsor
Date 2017-02-01
Name of individual signing JEANNE LINDSAY
MEDICAL EAST OF DECATUR, INC. 401K PLAN 2015 263995821 2016-07-21 MEDICAL EAST OF DECATUR, INC. 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-10-01
Business code 621498
Sponsor’s telephone number 2564322822
Plan sponsor’s address 2941 POINT MALLARD PKWY SE, SUITE A, DECATUR, AL, 35603

Agent

Name Role Address
HARBIN, KIM LEE Agent 102 HASTINGS ROADATHENS, AL 35613

Incorporator

Name Role Address
HARBIN, KIM LEE Incorporator 102 HASTINGS ROADATHENS, AL 35613

Related by officers

HARBIN, KIM LEE

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Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State

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