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Anniston Digestive Health, P.C.

Details

Name: Anniston Digestive Health, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 12 Sep 2014 (10 years ago) (Companies founded in September 2014)
Entity Number: 000-318-002
Register Number: 000318002
ZIP code: 36207 (Companies in Calhoun, 36207)
County: Calhoun
Place of Formation: Calhoun County
Registered Office Street Address: 901 LEIGHTON AVENUEANNISTON, AL 36207
Authorized Capital: 10000 @ $1.00PV

Activities GASTROENTEROLOGY & DIGESTIVE DISEASES SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1720489370 2014-09-12 2015-09-08 901 LEIGHTON AVE, SUITE 103, ANNISTON, AL, 362075700, US 901 LEIGHTON AVE, SUITE 103, ANNISTON, AL, 362075700, US

Contacts
Phone +1 256-237-1001
Fax 2562370016

Authorized person
Name MOHAMAD A ELOUBEIDI
Role MD/OWNER
Phone 2562371001

Taxonomy
Taxonomy Code 207RG0100X - Gastroenterology Physician
License Number 23315
State AL
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 165429
State AL
Issuer BLUE CROSS BLUE SHIELD
Number 511-53806
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ANNISTON DIGESTIVE HEALTH, P.C. CASH BALANCE PLAN 2021 471818760 2022-07-08 ANNISTON DIGESTIVE HEALTH, P.C. 12
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2562371001
Plan sponsor’s address 901 LEIGHTON AVE, SUITE 103, ANNISTON, AL, 36207
ANNISTON DIGESTIVE HEALTH, P.C. 401(K) PLAN 2021 471818760 2022-05-26 ANNISTON DIGESTIVE HEALTH, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2562371001
Plan sponsor’s address 901 LEIGHTON AVE, SUITE 103, ANNISTON, AL, 36207

Plan administrator’s name and address
Administrator’s EIN 830824803
Plan administrator’s name 401K SAFE 3 16 LLC
Plan administrator’s address 302 EAST MAIN STREET, ALBERTVILLE, AL, 35950
Administrator’s telephone number 8884014273
ANNISTON DIGESTIVE HEALTH, P.C. CASH BALANCE PLAN 2020 471818760 2021-10-13 ANNISTON DIGESTIVE HEALTH, P.C. 9
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2562371001
Plan sponsor’s address 901 LEIGHTON AVE, SUITE 103, ANNISTON, AL, 36207
ANNISTON DIGESTIVE HEALTH, P.C. 401(K) PLAN 2020 471818760 2021-04-05 ANNISTON DIGESTIVE HEALTH, P.C. 12
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2562371001
Plan sponsor’s address 901 LEIGHTON AVE, SUITE 103, ANNISTON, AL, 36207

Plan administrator’s name and address
Administrator’s EIN 271487169
Plan administrator’s name 401K SAFE 3 16 LLC
Plan administrator’s address 302 EAST MAIN STREET, ALBERTVILLE, AL, 35950
Administrator’s telephone number 8884015723
ANNISTON DIGESTIVE HEALTH, P.C. CASH BALANCE PLAN 2019 471818760 2020-08-21 ANNISTON DIGESTIVE HEALTH, P.C. 8
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2562371001
Plan sponsor’s address 901 LEIGHTON AVE, SUITE 103, ANNISTON, AL, 36207
ANNISTON DIGESTIVE HEALTH, P.C. 401(K) PLAN 2019 471818760 2020-06-15 ANNISTON DIGESTIVE HEALTH, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2562371001
Plan sponsor’s address 901 LEIGHTON AVE, SUITE 103, ANNISTON, AL, 36207

Plan administrator’s name and address
Administrator’s EIN 271487169
Plan administrator’s name 401K SAFE 3 16 LLC
Plan administrator’s address 302 EAST MAIN STREET, ALBERTVILLE, AL, 35950
Administrator’s telephone number 8884015723
ANNISTON DIGESTIVE HEALTH, P.C. CASH BALANCE PLAN 2018 471818760 2019-09-09 ANNISTON DIGESTIVE HEALTH, P.C. 7
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2562371001
Plan sponsor’s address 901 LEIGHTON AVE, SUITE 103, ANNISTON, AL, 36207
ANNISTON DIGESTIVE HEALTH, P.C. 401(K) PLAN 2018 471818760 2019-07-12 ANNISTON DIGESTIVE HEALTH, P.C. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2562371001
Plan sponsor’s address 901 LEIGHTON AVE, SUITE 103, ANNISTON, AL, 36207

Plan administrator’s name and address
Administrator’s EIN 271487169
Plan administrator’s name 401K SAFE 3 16 LLC
Plan administrator’s address 302 EAST MAIN STREET, ALBERTVILLE, AL, 35950
Administrator’s telephone number 8884015723
ANNISTON DIGESTIVE HEALTH, P.C. 401(K) PLAN 2017 471818760 2018-05-31 ANNISTON DIGESTIVE HEALTH, P.C. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2562371001
Plan sponsor’s address 901 LEIGHTON AVE, SUITE 103, ANNISTON, AL, 36207
ANNISTON DIGESTIVE HEALTH, P.C. 401(K) PLAN 2016 471818760 2017-10-03 ANNISTON DIGESTIVE HEALTH, P.C. 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2015-01-01
Business code 621111
Sponsor’s telephone number 2562371001
Plan sponsor’s address 901 LEIGHTON AVE, SUITE 103, ANNISTON, AL, 36207

Agent

Name Role Address
ELOUBEIDI, MOHAMAD A Agent 901 LEIGHTON AVE STE 103ANNISTON, AL 36207

Director

Name Role Address
ELOUBEIDI, MOHAMAD A Director 901 LEIGHTON AVE STE 103ANNISTON, AL 36207

Incorporator

Name Role Address
ELOUBEIDI, MOHAMAD A Incorporator 901 LEIGHTON AVE STE 103ANNISTON, AL 36207

Related by officers

ELOUBEIDI, MOHAMAD A

MRE Consulting, Inc.

Related by address

901 LEIGHTON AVENUEANNISTON, AL 36207

Coldwater Mini-Storage, LLC

Date of last update: 03 Aug 2024

Sources: Alabama Secretary of State

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