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Family and Community Medicine Associates, L.L.C.

Details

Name: Family and Community Medicine Associates, L.L.C.
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 29 Aug 2006 (18 years ago)
Entity Number: 000-483-379
Register Number: 000483379
County: Barbour
Place of Formation: Barbour County
Principal Address: EUFAULA, AL
Registered Office Street Address: 405 EAST BARBOUR ST STE #3EUFAULA, AL 36027
Registered Office Street Address ZIP Code: 36027

Activities PROVIDE MEDICAL CARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1649538794 2012-04-26 2015-05-28 515 STATE DOCKS RD, EUFAULA, AL, 360273354, US 515 STATE DOCKS RD, EUFAULA, AL, 360273354, US

Contacts
Phone +1 334-687-0250
Fax 3346870299

Authorized person
Name DR. JESSE CORNELIUS HAGGERTY III
Role PHYSICIAN
Phone 3346870250

Taxonomy
Taxonomy Code 207Q00000X - Family Medicine Physician
License Number 24003
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FAMILY AND COMMUNITY MEDICINE ASSOCIATES 401(K) PLAN 2023 260483093 2024-10-04 FAMILY AND COMMUNITY MEDICINE ASSOCIATES 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3346870250
Plan sponsor’s address 515 STATE DOCKS RD, EUFAULA, AL, 360271822
FAMILY AND COMMUNITY MEDICINE ASSOCIATES 401(K) PLAN 2022 260483093 2023-10-13 FAMILY AND COMMUNITY MEDICINE ASSOCIATES 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3346870250
Plan sponsor’s address 515 STATE DOCKS RD, EUFAULA, AL, 360271822
FAMILY AND COMMUNITY MEDICINE ASSOCIATES 401(K) PLAN 2021 260483093 2022-10-14 FAMILY AND COMMUNITY MEDICINE ASSOCIATES 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3346870250
Plan sponsor’s address 515 STATE DOCKS RD, EUFAULA, AL, 360271822
FAMILY AND COMMUNITY MEDICINE ASSOCIATES 401(K) PLAN 2020 260483093 2021-10-12 FAMILY AND COMMUNITY MEDICINE ASSOCIATES 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3346870250
Plan sponsor’s address 515 STATE DOCKS RD, EUFAULA, AL, 360271822
FAMILY AND COMMUNITY MEDICINE ASSOCIATES 401(K) PLAN 2019 260483093 2020-10-13 FAMILY AND COMMUNITY MEDICINE ASSOCIATES 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3346870250
Plan sponsor’s address 515 STATE DOCKS RD, EUFAULA, AL, 360271822
FAMILY AND COMMUNITY MEDICINE ASSOCIATES 401(K) PLAN 2018 260483093 2019-10-14 FAMILY AND COMMUNITY MEDICINE ASSOCIATES 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3346870250
Plan sponsor’s address 515 STATE DOCKS RD, EUFAULA, AL, 360271822
FAMILY AND COMMUNITY MEDICINE ASSOCIATES 401(K) PLAN 2017 260483093 2018-10-12 FAMILY AND COMMUNITY MEDICINE ASSOCIATES 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3346870250
Plan sponsor’s address 515 STATE DOCKS RD, EUFAULA, AL, 360271822
FAMILY AND COMMUNITY MEDICINE ASSOCIATES 401(K) PLAN 2016 260483093 2017-10-12 FAMILY AND COMMUNITY MEDICINE ASSOCIATES 7
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3346870250
Plan sponsor’s address 515 STATE DOCKS RD, EUFAULA, AL, 360271822
FAMILY AND COMMUNITY MEDICINE ASSOCIATES 401(K) PLAN 2015 260483093 2016-10-14 FAMILY AND COMMUNITY MEDICINE ASSOCIATES 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3346870250
Plan sponsor’s address 515 STATE DOCKS RD, EUFAULA, AL, 360271822
FAMILY AND COMMUNITY MEDICINE ASSOCIATES 401(K) PLAN 2014 260483093 2015-10-15 FAMILY AND COMMUNITY MEDICINE ASSOCIATES 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2003-01-01
Business code 621111
Sponsor’s telephone number 3346870250
Plan sponsor’s address 515 STATE DOCKS RD, EUFAULA, AL, 360271822

Signature of
Role Plan administrator
Date 2015-10-15
Name of individual signing JESSE C. HAGGERTY,III, M.D.

Agent

Name Role
HAGGERTY, JESSE C III Agent

Member

Name Role
HAGGERTY, JESSE C III Member

Related by officers

HAGGERTY, JESSE C III

Papa, L.L.C. Eufaula Medical Development Group, L.L.C.

Related by address

EUFAULA, AL

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Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State

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