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HealthGroup of Alabama, L.L.C.

Details

Name: HealthGroup of Alabama, L.L.C.
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 01 Aug 1995 (29 years ago) (Companies founded in August 1995)
Entity Number: 000-652-329
Register Number: 000652329
ZIP code: 35801 (Companies in Madison, 35801)
County: Madison
Place of Formation: Madison County
Principal Address: 201 SIVLEY ROADHUNTSVILLE, AL 35801
Registered Office Street Address: 201 SIVLEY RDHUNTSVILLE, AL 35801

Activities QUALITY SVCS TO PATIENTS OF MEMBER HOSPITALS/COST EFFECTIVE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1205955135 2007-03-29 2020-08-22 699 GALLATIN ST SW, SUITE B2, HUNTSVILLE, AL, 358014935, US 699 GALLATIN ST SW, SUITE B2, HUNTSVILLE, AL, 358014935, US

Contacts
Phone +1 256-532-2742
Fax 2565322735

Authorized person
Name MS. LAURA THOMPSON
Role DIRECTOR
Phone 2565322748

Taxonomy
Taxonomy Code 171W00000X - Contractor
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
HEALTHGROUP OF ALABAMA CAFETERIA PLAN 2009 631158739 2010-07-23 HEALTHGROUP OF ALABAMA 101
File View Page
Three-digit plan number (PN) 505
Effective date of plan 1999-01-01
Business code 561110
Sponsor’s telephone number 2569226680
Plan sponsor’s mailing address 6767 OLD MADISON PK,BLDG4,STE400, HUNTSVILLE, AL, 35806
Plan sponsor’s address 6767 OLD MADISON PK,BLDG4,STE400, HUNTSVILLE, AL, 35806

Plan administrator’s name and address
Administrator’s EIN 631158739
Plan administrator’s name HEALTHGROUP OF ALABAMA
Plan administrator’s address 6767 OLD MADISON PK,BLDG4,STE400, HUNTSVILLE, AL, 35806
Administrator’s telephone number 2569226680

Number of participants as of the end of the plan year
Active participants 0
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2010-07-23
Name of individual signing ROB SMITH
Valid signature Filed with authorized/valid electronic signature
GROUP LIFE AND ACCIDENTAL DEATH AND DISMEMBERMENT PLAN FOR THE EMPLOYEES OF HEALTHGROUP OF ALABAMA 2009 631158739 2010-07-23 HEALTHGROUP OF ALABAMA 95
File View Page
Three-digit plan number (PN) 507
Effective date of plan 1999-01-01
Business code 561110
Sponsor’s telephone number 2569226680
Plan sponsor’s mailing address 6767 OLD MADISON PK,BLDG4,STE400, HUNTSVILLE, AL, 35806
Plan sponsor’s address 6767 OLD MADISON PK,BLDG4,STE400, HUNTSVILLE, AL, 35806

Plan administrator’s name and address
Administrator’s EIN 631158739
Plan administrator’s name HEALTHGROUP OF ALABAMA
Plan administrator’s address 6767 OLD MADISON PK,BLDG4,STE400, HUNTSVILLE, AL, 35806
Administrator’s telephone number 2569226680

Number of participants as of the end of the plan year
Active participants 0
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2010-07-23
Name of individual signing ROB SMITH
Valid signature Filed with authorized/valid electronic signature
WEEKLY INCOME DISABILITY PLAN FOR THE EMPLOYEES OF HEALTHGROUP OF ALABAMA 2009 631158739 2010-07-23 HEALTHGROUP OF ALABAMA 90
File View Page
Three-digit plan number (PN) 508
Effective date of plan 1999-01-01
Business code 561110
Sponsor’s telephone number 2569226680
Plan sponsor’s mailing address 6767 OLD MADISON PK,BLDG4,STE400, HUNTSVILLE, AL, 35806
Plan sponsor’s address 6767 OLD MADISON PK,BLDG4,STE400, HUNTSVILLE, AL, 35806

Plan administrator’s name and address
Administrator’s EIN 631158739
Plan administrator’s name HEALTHGROUP OF ALABAMA
Plan administrator’s address 6767 OLD MADISON PK,BLDG4,STE400, HUNTSVILLE, AL, 35806
Administrator’s telephone number 2569226680

Number of participants as of the end of the plan year
Active participants 0
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2010-07-23
Name of individual signing ROB SMITH
Valid signature Filed with authorized/valid electronic signature
LONG TERM DISABILITY PLAN FOR THE EMPLOYEES OF HEALTHGROUP OF ALABAMA 2009 631158739 2010-07-23 HEALTHGROUP OF ALABAMA 90
File View Page
Three-digit plan number (PN) 506
Effective date of plan 1999-01-01
Business code 561110
Sponsor’s telephone number 2569226680
Plan sponsor’s mailing address 6767 OLD MADISON PK,BLDG4,STE400, HUNTSVILLE, AL, 35806
Plan sponsor’s address 6767 OLD MADISON PK,BLDG4,STE400, HUNTSVILLE, AL, 35806

Plan administrator’s name and address
Administrator’s EIN 631158739
Plan administrator’s name HEALTHGROUP OF ALABAMA
Plan administrator’s address 6767 OLD MADISON PK,BLDG4,STE400, HUNTSVILLE, AL, 35806
Administrator’s telephone number 2569226680

Number of participants as of the end of the plan year
Active participants 0
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2010-07-23
Name of individual signing ROB SMITH
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
BOSTON, EDWARD D Agent

Member

Name Role
THE HEALTH CARE AUTHORITY OF THE CITY OF HUNTSVILLE Member

Related by officers

BOSTON, EDWARD D

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Related by address

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201 SIVLEY RDHUNTSVILLE, AL 35801

Alabama Pain Clinic, P.C. Three Oaks Group LLC Vascular Specialists of Huntsville, P.L.L.C. G and G Games, L.L.C.

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State

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