Primarily Geriatrics LLC

Contacts

Phone	+1 256-355-5315

Authorized person

Name	DR. RUSSELL THOMAS BARR
Role	PHYSICIAN
Phone	2562609535

Taxonomy

Taxonomy Code	261QP2300X - Primary Care Clinic/Center
License Number	12034
State	AL
Is Primary	Yes

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-09-01
Business code	541600
Sponsor’s telephone number	2562609535
Plan sponsor’s address	1501 7TH STREET SE, DECATUR, AL, 35601

Signature of

Role	Plan administrator
Date	2024-07-12
Name of individual signing	RUSSELL BARR

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-09-01
Business code	541600
Sponsor’s telephone number	2562609535
Plan sponsor’s address	1501 7TH STREET SE, DECATUR, AL, 35601

Signature of

Role	Plan administrator
Date	2023-07-12
Name of individual signing	RUSSEKK BARR MD

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-09-01
Business code	541600
Sponsor’s telephone number	2562609535
Plan sponsor’s address	1501 7TH STREET SE, DECATUR, AL, 35601

Signature of

Role	Plan administrator
Date	2022-07-13
Name of individual signing	RUSSELL BARR

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-09-01
Business code	541600
Sponsor’s telephone number	2562609535
Plan sponsor’s address	1501 7TH STREET SE, DECATUR, AL, 35601

Signature of

Role	Plan administrator
Date	2021-06-30
Name of individual signing	RUSSELL T BARR

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-09-01
Business code	541600
Sponsor’s telephone number	2562609535
Plan sponsor’s address	1501 7TH STREET SE, DECATUR, AL, 35601

Signature of

Role	Plan administrator
Date	2020-06-25
Name of individual signing	RUSSELL BARR

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-09-01
Business code	541600
Sponsor’s telephone number	2562609535
Plan sponsor’s address	1501 7TH STREET SE, DECATUR, AL, 35601

Signature of

Role	Plan administrator
Date	2019-06-27
Name of individual signing	RUSSELL BARR

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-09-01
Business code	541600
Sponsor’s telephone number	2562609535
Plan sponsor’s address	1501 7TH STREET SE, DECATUR, AL, 35601

Signature of

Role	Plan administrator
Date	2018-07-10
Name of individual signing	RUSSELL T BARR

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-09-01
Business code	541600
Sponsor’s telephone number	2562609535
Plan sponsor’s address	1501 7TH STREET SE, DECATUR, AL, 35601

Signature of

Role	Plan administrator
Date	2017-11-02
Name of individual signing	PLAN SPONSOR