| Name: | Hoover Medicine, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 19 May 2009 (15 years ago) |
| Entity Number: | 000-261-012 |
| Register Number: | 000261012 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | HOOVER, AL |
| Registered Office Street Address: | 3081 LORNA RD STE 101HOOVER, AL 35216 |
| Registered Office Street Address ZIP Code: | 35216 |
| Authorized Capital: | 1,000 |
Activities
HEALTHCARE
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DY31JGQK4KC3 | 2022-11-18 | 3081 LORNA RD STE 101, BIRMINGHAM, AL, 35216, 4509, USA | 3081 LORNA RD STE 101, BIRMINGHAM, AL, 35216, 4509, USA | |||||||||||||||||||||||||||||||||||||||
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| Congressional District | 06 |
| State/Country of Incorporation | AL, USA |
| Activation Date | 2021-10-21 |
| Initial Registration Date | 2020-06-23 |
| Entity Start Date | 2009-05-19 |
| Fiscal Year End Close Date | Dec 31 |
Service Classifications
| NAICS Codes | 621111, 621399 |
| Product and Service Codes | Q201 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | RAMONA ROACH-DAVIS |
| Address | 774 SHADES MOUNTAIN PLAZA, BIRMINGHAM, AL, 35226, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | RAMONA ROACH-DAVIS |
| Address | 774 SHADES MOUNTAIN PLAZA, BIRMINGHAM, AL, 35226, USA |
| Past Performance | Information not Available |
|---|
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1174738975 | 2007-05-14 | 2023-01-24 | 774 SHADES MOUNTAIN PLZ, HOOVER, AL, 352261513, US | 774 SHADES MOUNTAIN PLZ, HOOVER, AL, 352261513, US | |||||||||||||||||||||
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| Phone | +1 205-979-3381 |
| Fax | 2059793726 |
Authorized person
| Name | REGINA HUDSON |
| Role | ADMINISTRATOR |
| Phone | 2059793381 |
Taxonomy
| Taxonomy Code | 261QP2300X - Primary Care Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 529928030 |
| State | AL |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HOOVER MEDICINE, INC. 401(K) PLAN | 2023 | 631245880 | 2024-07-22 | HOOVER MEDICINE INC | 9 | |||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-07-22 |
| Name of individual signing | CHRIS HORNE |
| Name | Role | Address |
|---|---|---|
| BLAKE, JAMES D | Incorporator | 1636 BUTTE WOODS DRIVEBIRMINGHAM, AL 35242 |
| ROACH-DAVIS, RAMONA | Incorporator | No data |
| Name | Role |
|---|---|
| ROACH-DAVIS, RAMONA | Agent |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
