| Name: | Surgical Specialists Group, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Withdrawn |
| Date of registration: | 07 Jul 2004 (20 years ago) |
| Entity Number: | 000-606-985 |
| Register Number: | 000606985 |
| County: | Walker |
| Place of Formation: | Delaware |
| Principal Address: | 2950 HWY 78 EJASPER, AL 35502 |
| Principal Address ZIP Code: | 35502 |
| Registered Office Street Address: | 2950 HWY 78 EASTJASPER, AL 35502 |
| Registered Office Street Address ZIP Code: | 35502 |
Activities
TO OWN AND OPERATE AN OUTPATIENT SURGERY CENTER
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1043367196 | 2007-01-04 | 2009-08-18 | 1323 SUMMIT DRIVE, JASPER, AL, 355010114, US | 1323 SUMMIT DRIVE, JASPER, AL, 355010114, US | |||||||||||||||||
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| Phone | +1 205-221-1324 |
| Fax | 2052211325 |
Authorized person
| Name | MR. GARY ELLIS |
| Role | ADMINISTRATOR |
| Phone | 2052211324 |
Taxonomy
| Taxonomy Code | 261QA1903X - Ambulatory Surgical Clinic/Center |
| State | AL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SURGICAL SPECIALISTS GROUP, LLC 401(K) PLAN | 2010 | 201398879 | 2011-09-19 | SURGICAL SPECIALISTS GROUP, LLC | 24 | |||||||||||||||||||||||||||||||||||||
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| Administrator’s EIN | 201398879 |
| Plan administrator’s name | SURGICAL SPECIALISTS GROUP, LLC |
| Plan administrator’s address | 1323 SUMMITT, JASPER, AL, 355010114 |
| Administrator’s telephone number | 2052211324 |
Signature of
| Role | Plan administrator |
| Date | 2011-09-19 |
| Name of individual signing | SHERRIE PIKE |
| Role | Employer/plan sponsor |
| Date | 2011-09-19 |
| Name of individual signing | SHERRIE PIKE |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2008-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2052211324 |
| Plan sponsor’s address | 1323 SUMMITT, JASPER, AL, 355010114 |
Plan administrator’s name and address
| Administrator’s EIN | 201398879 |
| Plan administrator’s name | SURGICAL SPECIALISTS GROUP, LLC |
| Plan administrator’s address | 1323 SUMMITT, JASPER, AL, 355010114 |
| Administrator’s telephone number | 2052211324 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-12 |
| Name of individual signing | SHERRIE T PIKE |
| Role | Employer/plan sponsor |
| Date | 2010-10-12 |
| Name of individual signing | SHERRIE T PIKE |
| Name | Role |
|---|---|
| VAGUE, KENDALL C M.D | Agent |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
