Menu
Search icon

Shoals Primary Care, LLC

Details

Name: Shoals Primary Care, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 14 Sep 2009 (15 years ago)
Entity Number: 000-438-060
Register Number: 000438060
County: Colbert
Place of Formation: Lauderdale County
Registered Office Street Address: 342 COX BOULEVARDSHEFFIELD, AL 35660
Registered Office Street Address ZIP Code: 35660

Activities MEDICAL PRACTICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1326373861 2009-10-15 2020-08-05 PO BOX 2587, MUSCLE SHOALS, AL, 356622587, US 342 COX BLVD, SHEFFIELD, AL, 356604020, US

Contacts
Phone +1 256-383-4473
Fax 2563815232

Authorized person
Name AARON W KARR
Role MANANGING PARTNER
Phone 2563834473

Taxonomy
Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary Yes
Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary No
Taxonomy Code 363LF0000X - Family Nurse Practitioner
Is Primary No

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
SHOALS PRIMARY CARE RETIREMENT PLAN 2018 270952681 2019-10-15 SHOALS PRIMARY CARE, LLC 40
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-04-01
Business code 621111
Sponsor’s telephone number 2563834473
Plan sponsor’s address 342 COX BOULEVARD, SHEFFIELD, AL, 35660
SHOALS PRIMARY CARE RETIREMENT PLAN 2017 270952681 2018-10-15 SHOALS PRIMARY CARE, LLC 50
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-04-01
Business code 621111
Sponsor’s telephone number 2563834473
Plan sponsor’s address 342 COX BOULEVARD, SHEFFIELD, AL, 35660
SHOALS PRIMARY CARE RETIREMENT PLAN 2016 270952681 2017-10-16 SHOALS PRIMARY CARE, LLC 88
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-04-01
Business code 621111
Sponsor’s telephone number 2563834473
Plan sponsor’s address 342 COX BOULEVARD, SHEFFIELD, AL, 35660

Plan administrator’s name and address
Administrator’s EIN 270952681
Plan administrator’s name SHOALS PRIMARY CARE, LLC
Plan administrator’s address 342 COX BOULEVARD, SHEFFIELD, AL, 35660
Administrator’s telephone number 2563834473
SHOALS PRIMARY CARE RETIREMENT PLAN 2015 270952681 2016-10-17 SHOALS PRIMARY CARE, LLC 65
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-04-01
Business code 621111
Sponsor’s telephone number 2563834473
Plan sponsor’s address 342 COX BOULEVARD, SHEFFIELD, AL, 35660

Plan administrator’s name and address
Administrator’s EIN 270952681
Plan administrator’s name SHOALS PRIMARY CARE, LLC
Plan administrator’s address 342 COX BOULEVARD, SHEFFIELD, AL, 35660
Administrator’s telephone number 2563834473
SHOALS PRIMARY CARE RETIREMENT PLAN 2014 270952681 2015-10-15 SHOALS PRIMARY CARE, LLC 57
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-04-01
Business code 621111
Sponsor’s telephone number 2563834473
Plan sponsor’s address 342 COX BOULEVARD, SHEFFIELD, AL, 35660

Plan administrator’s name and address
Administrator’s EIN 270952681
Plan administrator’s name SHOALS PRIMARY CARE, LLC
Plan administrator’s address 342 COX BOULEVARD, SHEFFIELD, AL, 35660
Administrator’s telephone number 2563834473

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing RAFIULLAH KHAN
SHOALS PRIMARY CARE RETIREMENT PLAN 2013 270952681 2014-10-15 SHOALS PRIMARY CARE, LLC 34
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-04-01
Business code 621111
Sponsor’s telephone number 2563834473
Plan sponsor’s address 342 COX BOULEVARD, SHEFFIELD, AL, 35660

Plan administrator’s name and address
Administrator’s EIN 270952681
Plan administrator’s name SHOALS PRIMARY CARE, LLC
Plan administrator’s address 342 COX BOULEVARD, SHEFFIELD, AL, 35660
Administrator’s telephone number 2563834473

Signature of
Role Plan administrator
Date 2014-10-15
Name of individual signing RAFIULLAH KHAN
SHOALS PRIMARY CARE RETIREMENT PLAN 2012 270952681 2013-08-14 SHOALS PRIMARY CARE, LLC 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-04-01
Business code 621111
Sponsor’s telephone number 2563834473
Plan sponsor’s address 342 COX BOULEVARD, SHEFFIELD, AL, 35660

Plan administrator’s name and address
Administrator’s EIN 270952681
Plan administrator’s name SHOALS PRIMARY CARE, LLC
Plan administrator’s address 342 COX BOULEVARD, SHEFFIELD, AL, 35660
Administrator’s telephone number 2563834473

Signature of
Role Plan administrator
Date 2013-08-14
Name of individual signing RAFIULLAH KHAN
SHOALS PRIMARY CARE RETIREMENT PLAN 2011 270952681 2012-10-15 SHOALS PRIMARY CARE, LLC 23
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-04-01
Business code 621111
Sponsor’s telephone number 2563834473
Plan sponsor’s address 342 COX BOULEVARD, SHEFFIELD, AL, 35660

Plan administrator’s name and address
Administrator’s EIN 270952681
Plan administrator’s name SHOALS PRIMARY CARE, LLC
Plan administrator’s address 342 COX BOULEVARD, SHEFFIELD, AL, 35660
Administrator’s telephone number 2563834473

Signature of
Role Plan administrator
Date 2012-10-15
Name of individual signing RAFIULLAH KHAN
SHOALS PRIMARY CARE RETIREMENT PLAN 2010 270952681 2011-09-23 SHOALS PRIMARY CARE, LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2010-04-01
Business code 621111
Sponsor’s telephone number 2567677494
Plan sponsor’s address 1404 AVALON AVENUE, WING B, TUSCUMBIA, AL, 35674

Plan administrator’s name and address
Administrator’s EIN 270952681
Plan administrator’s name SHOALS PRIMARY CARE, LLC
Plan administrator’s address 1404 AVALON AVENUE, WING B, TUSCUMBIA, AL, 35674
Administrator’s telephone number 2567677494

Signature of
Role Plan administrator
Date 2011-09-23
Name of individual signing RKHAN

Agent

Name Role Address
KHAN, RAFIULLAH Agent 342 COX BOULEVARDSHEFFIELD, AL 35660

Member

Name Role Address
SYED, FAIZULLAH Member 267 INDIAN SPRINGS DRFLORENCE, AL 35634
RIDGEWAY, ALBERT L Member 233 WEST LELIAFLORENCE, AL 35630
BOWLING, DARIN K Member 4175 KERNACHAN DRMUSCLE SHOALS, AL 35661
KARR, AARON W Member 107 BROOKE DRMUSCLE SHOALS, AL 35661

Related by officers

KHAN, RAFIULLAH

Future Solutions, LLC BRS PROPERTIES, LLC MANAGMENT SOLUTIONS LLC PARK PALACE LLC Shoals Hospitalist Services LLC Omni Managements LLC NEM Transportation Services LLC Zystrio LLC

SYED, FAIZULLAH

The Dollar Store Plus, Inc. Future Solutions, LLC BRS PROPERTIES, LLC PARK PALACE LLC SYED RESEARCH CONSULTANTS LLC Shoals Hospitalist Services LLC Lister Medical Properties, LLC East Wind, LLC Syed Clinic, LLC

RIDGEWAY, ALBERT L

North Alabama Center for Clinical Research LLC

BOWLING, DARIN K

D & G Medical Services, Inc. BRS PROPERTIES, LLC

KARR, AARON W

NORTH WIND LLC Southern Blend Coffee, LLC Safe Harbor of the Shoals, Inc SPC Hospitalist Group LLC

Related by address

342 COX BOULEVARDSHEFFIELD, AL 35660

BRS PROPERTIES, LLC MANAGMENT SOLUTIONS LLC SYED RESEARCH CONSULTANTS LLC NORTH WIND LLC Shoals Hospitalist Services LLC Omni Managements LLC EZ Care LLC

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2024 alabamacompanysearch.com