| Name: | Parkway Medical Center, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 09 Sep 2014 (10 years ago) |
| Entity Number: | 000-317-567 |
| Register Number: | 000317567 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 1160 HUFFMAN ROADBIRMINGHAM, AL 35215 |
| Registered Office Street Address ZIP Code: | 35215 |
Activities
ANY LAWFUL BUSINESS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558497016 | 2007-02-26 | 2014-09-23 | 1160 HUFFMAN ROAD, BIRMINGHAM, AL, 35215, US | 1160 HUFFMAN ROAD, BIRMINGHAM, AL, 35215, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 205-815-5000 |
| Fax | 2058155246 |
Authorized person
| Name | DR. JAMES GREGORY SULLIVAN |
| Role | PHYSICIAN |
| Phone | 2058155000 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | 11133 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| License Number | 15983 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 207R00000X - Internal Medicine Physician |
| License Number | 11351 |
| State | AL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PARKWAY MEDICAL CENTER LLC 401(K) PLAN | 2023 | 630969790 | 2024-10-02 | PARKWAY MEDICAL CENTER LLC | 12 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-10-02 |
| Name of individual signing | ALLISON BRECHER |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621491 |
| Sponsor’s telephone number | 2058155000 |
| Plan sponsor’s address | 1160 HUFFMAN ROAD, BIRMINGHAM, AL, 35215 |
Signature of
| Role | Plan administrator |
| Date | 2023-10-12 |
| Name of individual signing | ALLISON BRECHER |
| Name | Role | Address |
|---|---|---|
| SULLIVAN, PAULA D | Organizer | 1160 HUFFMAN ROADBIRMINGHAM, AL 35215 |
| SULLIVAN, J GREGORY | Organizer | 1160 HUFFMAN ROADBIRMINGHAM, AL 35215 |
| Name | Role |
|---|---|
| SULLIVAN, J G | Agent |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
