| Name: | The Institute for Advanced Cardiovascular Care, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 16 Apr 2007 (18 years ago) |
| Entity Number: | 000-493-197 |
| Register Number: | 000493197 |
| County: | Lee |
| Place of Formation: | Lee County |
| Registered Office Street Address: | 2375 CHAMPIONS BLVDAUBURN, AL 36830 |
| Registered Office Street Address ZIP Code: | 36830 |
Activities
MEDICAL PRACTICE (CARDIOLOGY)
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1245442920 | 2007-05-04 | 2020-08-22 | 2123 EXECUTIVE PARK DRIVE, OPELIKA, AL, 36801, US | 2123 EXECUTIVE PARK DRIVE, OPELIKA, AL, 36801, US | |||||||||||||||
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| Phone | +1 334-704-0307 |
| Fax | 3347040578 |
Authorized person
| Name | MRS. AMY W PACKER |
| Role | BILLING MANAGER |
| Phone | 18887450211 |
Taxonomy
| Taxonomy Code | 207RC0000X - Cardiovascular Disease Physician |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| IACC 401(K) PLAN | 2011 | 208854479 | 2012-09-05 | INSTITUTE FOR ADVANCED CARDIOVASCULAR CARE | 43 | |||||||||||||||||||||||||||||
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| Administrator’s EIN | 208854479 |
| Plan administrator’s name | INSTITUTE FOR ADVANCED CARDIOVASCULAR CARE |
| Plan administrator’s address | 2375 CHAMPIONS BLVD, AUBURN, AL, 36830 |
| Administrator’s telephone number | 3342092550 |
Signature of
| Role | Plan administrator |
| Date | 2012-09-05 |
| Name of individual signing | MISSIE KENNEDY |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2009-09-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 3342092550 |
| Plan sponsor’s address | 2375 CHAMPIONS BLVD, AUBURN, AL, 36830 |
Plan administrator’s name and address
| Administrator’s EIN | 208854479 |
| Plan administrator’s name | INSTITUTE FOR ADVANCED CARDIOVASCULAR CARE |
| Plan administrator’s address | 2375 CHAMPIONS BLVD, AUBURN, AL, 36830 |
| Administrator’s telephone number | 3342092550 |
Signature of
| Role | Plan administrator |
| Date | 2012-12-28 |
| Name of individual signing | MISSIE KENNEDY |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2009-09-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 3343213600 |
| Plan sponsor’s address | 2375 CHAMPION BLVD, AUBURN, AL, 36830 |
Plan administrator’s name and address
| Administrator’s EIN | 208854479 |
| Plan administrator’s name | INSTITUTE FOR ADVANCED CARDIOVASCULAR CARE |
| Plan administrator’s address | 2375 CHAMPION BLVD, AUBURN, AL, 36830 |
| Administrator’s telephone number | 3343213600 |
| Name | Role | Address |
|---|---|---|
| DAVIS, W ROSS | Agent | 868 NORTH DEAN ROADAUBURN, AL 36830 |
| Name | Role | Address |
|---|---|---|
| DAVIS, W ROSS | Member | 868 NORTH DEAN ROADAUBURN, AL 36830 |
| FOLEY, BRIAN A | Member | 868 NORTH DEAN ROADAUBURN, AL 36830 |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
