| Name: | Red Mountain Wellness & Internal Medicine, P.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Professional Corporation |
| Status: | Exists |
| Date of registration: | 14 Jan 2014 (11 years ago) |
| Entity Number: | 000-294-946 |
| Register Number: | 000294946 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 860 MONTCLAIR ROAD, SUITE 860BIRMINGHAM, AL 35213 |
| Registered Office Street Address ZIP Code: | 35213 |
| Authorized Capital: | 5000 @ $1.00 PV |
Activities
PRACTICE OF MEDICINE AND SPECIALIZE IN INTERNAL MEDICINE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821414483 | 2014-03-06 | 2014-07-28 | 200 OFFICE PARK DR, SUITE 201, MOUNTAIN BRK, AL, 352232418, US | 200 OFFICE PARK DR, SUITE 201, MOUNTAIN BRK, AL, 352232418, US | |||||||||||||||||||
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| Phone | +1 205-599-4860 |
| Fax | 2055994874 |
Authorized person
| Name | CECIL C DODSON |
| Role | MD |
| Phone | 2055994860 |
Taxonomy
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | MD14090 |
| State | AL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PAYROLL & BENEFIT SOLUTIONS 401 (K) PLAN | 2018 | 464525677 | 2019-04-25 | RED MOUNTAIN WELLNESS & INTERNAL MEDICINE, P.C. | 4 | |||||||||||||||||||||||||||||
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| Administrator’s EIN | 452945096 |
| Plan administrator’s name | ERISA WISE, LLC |
| Plan administrator’s address | PO BOX 1002, MACKINAW, IL, 61755 |
| Administrator’s telephone number | 9253376069 |
Signature of
| Role | Plan administrator |
| Date | 2019-04-25 |
| Name of individual signing | STEPHANIE BANISTER |
| Name | Role | Address |
|---|---|---|
| DODSON, C C III | Agent | 860 MONTCLAIR ROAD, SUITE 860BIRMINGHAM, AL 35213 |
| Name | Role | Address |
|---|---|---|
| DODSON, C CALVERT III | Director | 860 MONTCLAIR ROAD, SUITE 860BIRMINGHAM, AL 35213 |
| Name | Role | Address |
|---|---|---|
| DODSON, C C III | Incorporator | 860 MONTCLAIR ROAD, SUITE 860BIRMINGHAM, AL 35213 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
