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Madison Surgery Center, L.L.C.

Details

Name: Madison Surgery Center, L.L.C.
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 01 Jul 1999 (25 years ago) (Companies founded in July 1999)
Entity Number: 000-665-237
Register Number: 000665237
ZIP code: 35758 (Companies in Madison, 35758)
County: Madison
Place of Formation: Madison County
Registered Office Street Address: 460 LANIER ROADMADISON, AL 35758-2631
Principal Address: 460 LANIER ROADMADISON, AL 35758

Activities OPERATE HEALTH CARE FACILITY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1356369755 2006-07-17 2023-08-03 460 LANIER RD, MADISON, AL, 357582631, US 460 LANIER RD, MADISON, AL, 357582631, US

Contacts
Phone +1 256-319-9000
Fax 2563199009

Authorized person
Name MARY ANN KELLY
Role ADMINISTRATOR
Phone 2563199000

Taxonomy
Taxonomy Code 261QA1903X - Ambulatory Surgical Clinic/Center
License Number 10441
State AL
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MADISON SURGERY CENTER, L.L.C. 401(K) PLAN 2022 631249522 2023-03-02 MADISON SURGERY CENTER, L.L.C. 70
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2563199000
Plan sponsor’s address 460 LANIER ROAD, MADISON, AL, 35758

Signature of
Role Plan administrator
Date 2023-03-02
Name of individual signing MARY ANN KELLY
MADISON SURGERY CENTER, L.L.C. 401(K) PLAN 2021 631249522 2022-07-22 MADISON SURGERY CENTER, L.L.C. 66
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2563199000
Plan sponsor’s address 460 LANIER ROAD, MADISON, AL, 35758

Signature of
Role Plan administrator
Date 2022-07-22
Name of individual signing MARY ANN KELLY
MADISON SURGERY CENTER, L.L.C. 401(K) PLAN 2020 631249522 2021-07-13 MADISON SURGERY CENTER, L.L.C. 63
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2563199000
Plan sponsor’s address 460 LANIER ROAD, MADISON, AL, 35758

Signature of
Role Plan administrator
Date 2021-07-13
Name of individual signing MARY ANN KELLY
MADISON SURGERY CENTER, L.L.C. 401(K) PLAN 2019 631249522 2020-09-23 MADISON SURGERY CENTER, L.L.C. 62
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2563199000
Plan sponsor’s address 460 LANIER ROAD, MADISON, AL, 35758

Signature of
Role Plan administrator
Date 2020-09-23
Name of individual signing MARY ANN KELLY
MADISON SURGERY CENTER, L.L.C. 401(K) PLAN 2018 631249522 2019-06-25 MADISON SURGERY CENTER, L.L.C. 61
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2563199000
Plan sponsor’s address 460 LANIER ROAD, MADISON, AL, 35758

Signature of
Role Plan administrator
Date 2019-06-25
Name of individual signing MARY ANN KELLY
MADISON SURGERY CENTER, L.L.C. 401(K) PLAN 2017 631249522 2018-08-27 MADISON SURGERY CENTER, L.L.C. 66
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2563199000
Plan sponsor’s address 460 LANIER ROAD, MADISON, AL, 35758

Signature of
Role Plan administrator
Date 2018-08-27
Name of individual signing MARY ANN KELLY
MADISON SURGERY CENTER, L.L.C. 401(K) PLAN 2016 631249522 2017-09-22 MADISON SURGERY CENTER, L.L.C. 65
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2563199000
Plan sponsor’s address 460 LANIER ROAD, MADISON, AL, 35758

Signature of
Role Plan administrator
Date 2017-09-22
Name of individual signing MARY ANN KELLY
MADISON SURGERY CENTER, L.L.C. 401(K) PLAN 2015 631249522 2016-09-16 MADISON SURGERY CENTER, L.L.C. 57
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2563199000
Plan sponsor’s address 460 LANIER ROAD, MADISON, AL, 35758

Signature of
Role Plan administrator
Date 2016-09-16
Name of individual signing MARY ANN KELLY
MADISON SURGERY CENTER, L.L.C. 401(K) PLAN 2014 631249522 2016-01-25 MADISON SURGERY CENTER, L.L.C. 60
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2563199000
Plan sponsor’s address 460 LANIER ROAD, MADISON, AL, 35758

Signature of
Role Plan administrator
Date 2016-01-25
Name of individual signing MARY ANN KELLY
MADISON SURGERY CENTER, L.L.C. 401(K) PLAN 2014 631249522 2015-09-11 MADISON SURGERY CENTER, L.L.C. 60
Three-digit plan number (PN) 001
Effective date of plan 2005-01-01
Business code 621111
Sponsor’s telephone number 2563199000
Plan sponsor’s address 460 LANIER ROAD, MADISON, AL, 35758

Signature of
Role Plan administrator
Date 2015-09-11
Name of individual signing MARY ANN KELLY

Agent

Name Role
ROBERT K HILL Agent

Member

Name Role Address
RICHARDSON, RICHARD P Member 3000 HONORS ROWOWENS CROSS ROAD, AL 35763
HICKS, JOSEPH P Member 713 OWENS DRIVEHUNTSVILLE, AL 35801
MCMICHENS, TIMOTHY Member 1800 GASLIGHT WAYHUNTSVILLE, AL 35801
PENDLEY, ROBERT A Member 4823 COVE CREEK DRIVEBROWNSBORO, AL 35741
HAGOOD, MARK L Member 5610 TARLETON DRIVEHUNTSVILLE, AL 35802
KRAUS, THOMAS J Member 2721 WHISTLER LANEOWNES CROSSROADS, AL 35763

Organizer

Name Role Address
RICHARDSON, RICHARD P Organizer 3000 HONORS ROWOWENS CROSS ROAD, AL 35763
HICKS, JOSEPH P Organizer 713 OWENS DRIVEHUNTSVILLE, AL 35801
MCMICHENS, TIMOTHY Organizer 1800 GASLIGHT WAYHUNTSVILLE, AL 35801
HAGOOD, MARK L Organizer 5610 TARLETON DRIVEHUNTSVILLE, AL 35802
KRAUS, THOMAS J Organizer 2721 WHISTLER LANEOWNES CROSSROADS, AL 35763
STANLEY, C ROBERT Organizer 382 MULBERRY ROADHAZEL GREEN, AL 35750
PENDLEY, ROBERT A Organizer 4823 COVE CREEK DRIVEBROWNSBORO, AL 35741

Events

Event Date Event Type Old Value New Value
2022-01-25 Name Merged No data MSC Properties, L.L.C.

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Related by address

No related companies by address

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State

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