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SLCM, LLC

Details

Name: SLCM, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 31 Jul 2009 (15 years ago) (Companies founded in July 2009)
Entity Number: 000-436-821
Register Number: 000436821
ZIP code: 35401 (Companies in Tuscaloosa, 35401)
County: Tuscaloosa
Place of Formation: Tuscaloosa County
Principal Address: TUSCALOOSA, AL
Registered Office Street Address: 2703 7TH STTUSCALOOSA, AL 35401

Activities MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1336474964 2009-10-15 2024-03-04 4310 WATERMELON RD, NORTHPORT, AL, 354735166, US 4310 WATERMELON RD, NORTHPORT, AL, 354735166, US

Contacts
Phone +1 205-330-5266
Fax 2053309915

Authorized person
Name NICOLE JONES
Role AUTHORIZED OFFICIAL
Phone 2057106129

Taxonomy
Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes

Other Provider Identifiers
Issuer MEDICAID
Number 1336474964
State AL
Issuer MEDICARE RAILROAD
Number DP9610
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
NORTHRIVER PRIMARY CARE ASSOCIATES 401K PLAN 2023 270705510 2024-04-25 SLCM, LLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 2056146003
Plan sponsor’s address 4310 WATERMELON ROAD, NORTHPORT, AL, 35473

Signature of
Role Plan administrator
Date 2024-04-25
Name of individual signing HEATHER HARRISON
Role Employer/plan sponsor
Date 2024-04-25
Name of individual signing HEATHER HARRISON
NORTHRIVER PRIMARY CARE ASSOCIATES 401K PLAN 2022 270705510 2023-06-22 SLCM, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 2056146003
Plan sponsor’s address 4310 WATERMELON ROAD, NORTHPORT, AL, 35473

Signature of
Role Plan administrator
Date 2023-06-22
Name of individual signing HEATHER HARRISON
Role Employer/plan sponsor
Date 2023-06-22
Name of individual signing HEATHER HARRISON
NORTHRIVER PRIMARY CARE ASSOCIATES 401K PLAN 2021 270705510 2022-05-31 SLCM, LLC 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 2056146003
Plan sponsor’s address 4310 WATERMELON ROAD, NORTHPORT, AL, 35473

Signature of
Role Plan administrator
Date 2022-05-31
Name of individual signing HEATHER HARRISON
Role Employer/plan sponsor
Date 2022-05-31
Name of individual signing HEATHER HARRISON
NORTHRIVER PRIMARY CARE ASSOCIATES 401K PLAN 2020 270705510 2021-04-27 SLCM, LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 2056146003
Plan sponsor’s address 4310 WATERMELON ROAD, NORTHPORT, AL, 35473

Signature of
Role Plan administrator
Date 2021-04-27
Name of individual signing HEATHER HARRISON
Role Employer/plan sponsor
Date 2021-04-27
Name of individual signing HEATHER HARRISON
NORTHRIVER PRIMARY CARE ASSOCIATES 401K PLAN 2019 270705510 2020-10-14 SLCM, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 2053305266
Plan sponsor’s address 4310 WATERMELON ROAD, NORTHPORT, AL, 35473

Signature of
Role Plan administrator
Date 2020-10-14
Name of individual signing HEATHER HARRISON
Role Employer/plan sponsor
Date 2020-10-14
Name of individual signing HEATHER HARRISON
NORTHRIVER PRIMARY CARE ASSOCIATES 401K PLAN 2018 270705510 2019-06-21 SLCM, LLC 14
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 2053305266
Plan sponsor’s address 4310 WATERMELON ROAD, NORTHPORT, AL, 35473

Signature of
Role Plan administrator
Date 2019-06-21
Name of individual signing HEATHER HARRISON
Role Employer/plan sponsor
Date 2019-06-21
Name of individual signing HEATHER HARRISON
NORTHRIVER PRIMARY CARE ASSOCIATES 401K PLAN 2017 270705510 2018-07-17 SLCM, LLC 13
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2017-01-01
Business code 621111
Sponsor’s telephone number 2053305266
Plan sponsor’s address 1325 MCFARLAND BLVD, SUITE 104, NORTHPORT, AL, 35476

Signature of
Role Plan administrator
Date 2018-07-17
Name of individual signing HEATHER HARRISON

Agent

Name Role Address
GUNTER, SANFORD E Agent 2703 7TH STREETTUSCALOOSA, AL 35401

Member

Name Role
LOVELADY, STEVE R Member
MCENTYRE, CLINT Member

Related by officers

GUNTER, SANFORD E

JRS Construction, LLC 2441 Acton Park Circle, LLC Church Information Management, Inc. Congregate Care Living Centers, Inc. LHW, Inc. American Funeral & Cremation Plans, Inc. Woodley Estate, LLC NRPC Holdings, LLC Clint McEntyre, M.D., LLC Three Doves, LLC

LOVELADY, STEVE R

Steve R. Lovelady, M.D., LLC PLM, LLC Contract Medical Services, LLC

MCENTYRE, CLINT

Clint McEntyre, M.D., LLC

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TUSCALOOSA, AL

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2703 7TH STTUSCALOOSA, AL 35401

Alexander R. Newton, P.C. Crownover, Stephens, Shields, Gunter & Coleman, P.C. Best Rate, Inc. Emerald Ventures, Inc. Hank Hawkins Attorney at Law, P.C. A. Kelley Hudlow, LLC Wilkin Capital Group, LLC Clint McEntyre, M.D., LLC Three Doves, LLC

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State

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