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Pediatric Healthcare, LLC

Details

Name: Pediatric Healthcare, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 30 Dec 1997 (27 years ago) (Companies founded in December 1997)
Entity Number: 000-658-449
Register Number: 000658449
ZIP code: 36111 (Companies in Montgomery, 36111)
County: Montgomery
Place of Formation: Montgomery County
Principal Address: MONTGOMERY, AL
Registered Office Street Address: 3054 MCGEHEE ROADMONTGOMERY, AL 36111

Activities PRACTICE OF MEDICINE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1437238474 2006-11-02 2022-07-21 4700 WOODMERE BLVD, MONTGOMERY, AL, 361063065, US 4700 WOODMERE BLVD, MONTGOMERY, AL, 361063065, US

Contacts

Phone +1 334-273-9700
Fax 3342739788

Authorized person

Name DR. MARTIN GLOVER
Role OWNER
Phone 3342739700

Taxonomy

Taxonomy Code 282NC2000X - Children's Hospital
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PEDIATRIC HEALTHCARE, LLC 401(K) PROFIT SHARING PLAN 2023 631190786 2024-06-10 PEDIATRIC HEALTHCARE, LLC 22
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 3342739700
Plan sponsor’s address 4700 WOODMERE BOULEVARD, MONTGOMERY, AL, 36106

Signature of

Role Plan administrator
Date 2024-06-10
Name of individual signing DENSLOW TRUMBULL, III
Role Employer/plan sponsor
Date 2024-06-10
Name of individual signing DENSLOW TRUMBULL, III
PEDIATRIC HEALTHCARE, LLC 401(K) PROFIT SHARING PLAN 2022 631190786 2023-10-10 PEDIATRIC HEALTHCARE, LLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 3342739700
Plan sponsor’s address 4700 WOODMERE BOULEVARD, MONTGOMERY, AL, 36106

Signature of

Role Plan administrator
Date 2023-10-09
Name of individual signing DENSLOW TRUMBULL, III
Role Employer/plan sponsor
Date 2023-10-09
Name of individual signing DENSLOW TRUMBULL, III
PEDIATRIC HEALTHCARE, LLC 401(K) PROFIT SHARING PLAN 2021 631190786 2022-09-29 PEDIATRIC HEALTHCARE, LLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 3342739700
Plan sponsor’s address 4700 WOODMERE BOULEVARD, MONTGOMERY, AL, 36106

Signature of

Role Plan administrator
Date 2022-09-29
Name of individual signing DENSLOW TRUMBULL
Role Employer/plan sponsor
Date 2022-09-29
Name of individual signing DEN TRUMBULL
PEDIATRIC HEALTHCARE, LLC 401(K) PROFIT SHARING PLAN 2020 631190786 2021-10-13 PEDIATRIC HEALTHCARE, LLC 21
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 3342739700
Plan sponsor’s address 4700 WOODMERE BOULEVARD, MONTGOMERY, AL, 36106

Signature of

Role Plan administrator
Date 2021-10-13
Name of individual signing DENSLOW TRUMBULL
PEDIATRIC HEALTHCARE, LLC 401(K) PROFIT SHARING PLAN 2020 631190786 2021-10-13 PEDIATRIC HEALTHCARE, LLC 21
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 3342739700
Plan sponsor’s address 4700 WOODMERE BOULEVARD, MONTGOMERY, AL, 36106

Signature of

Role Plan administrator
Date 2021-10-13
Name of individual signing DENSLOW TRUMBULL
PEDIATRIC HEALTHCARE, LLC 401(K) PROFIT SHARING PLAN 2019 631190786 2020-10-07 PEDIATRIC HEALTHCARE, LLC 20
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 3342739700
Plan sponsor’s address 4700 WOODMERE BOULEVARD, MONTGOMERY, AL, 36106

Signature of

Role Plan administrator
Date 2020-10-07
Name of individual signing DENSLOW TRUMBULL
PEDIATRIC HEALTHCARE, LLC 401(K) PROFIT SHARING PLAN 2018 631190786 2019-09-24 PEDIATRIC HEALTHCARE, LLC 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 3342739700
Plan sponsor’s address 4700 WOODMERE BOULEVARD, MONTGOMERY, AL, 36106

Signature of

Role Plan administrator
Date 2019-09-24
Name of individual signing DENSLOW TRUMBULL
Role Employer/plan sponsor
Date 2019-09-24
Name of individual signing DENSLOW TRUMBULL
PEDIATRIC HEALTHCARE, LLC 401(K) PROFIT SHARING PLAN 2017 631190786 2018-07-09 PEDIATRIC HEALTHCARE, LLC 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 3342739700
Plan sponsor’s address 4700 WOODMERE BLVD., MONTGOMERY, AL, 361063065

Signature of

Role Plan administrator
Date 2018-05-30
Name of individual signing DENSLOW TRUMBULL
PEDIATRIC HEALTHCARE, LLC 401(K) PROFIT SHARING PLAN 2016 631190786 2017-05-16 PEDIATRIC HEALTHCARE, LLC 15
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 3342739700
Plan sponsor’s address 4700 WOODMERE BLVD., MONTGOMERY, AL, 36106

Signature of

Role Plan administrator
Date 2017-05-02
Name of individual signing DENSLOW TRUMBULL
PEDIATRIC HEALTHCARE, LLC 401(K) PROFIT SHARING PLAN 2015 631190786 2016-06-16 PEDIATRIC HEALTHCARE, LLC 18
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1998-01-01
Business code 621111
Sponsor’s telephone number 3342739700
Plan sponsor’s address 4700 WOODMERE BLVD., MONTGOMERY, AL, 361063065

Signature of

Role Plan administrator
Date 2016-06-16
Name of individual signing DENSLOW TRUMBULL

Agent

Name Role
GLOVER, MARTIN C Agent

Member

Name Role
MARTIN C GLOVER MD LLC Member
DAVID L MORRISON MD LLC Member
DENSLOW A TRUMBULL III MD LLC Member

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State