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Purohit Pediatric Clinic, LLC

Details

Name: Purohit Pediatric Clinic, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 06 Mar 2003 (22 years ago)
Entity Number: 000-688-513
Register Number: 000688513
County: Calhoun
Place of Formation: Calhoun County
Principal Address: ANNISTON, AL
Registered Office Street Address: 516 QUINTARD AVEANNISTON, AL 36207
Registered Office Street Address ZIP Code: 36207

Activities ANY LAWFUL ACTIVITY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1790971166 2007-09-19 2024-06-20 516 QUINTARD AVE, ANNISTON, AL, 362015754, US 516 QUINTARD AVE, ANNISTON, AL, 362015754, US

Contacts
Phone +1 256-741-9799
Fax 2567419795

Authorized person
Name NARESH PUROHIT
Role OWNER/MD
Phone 2567419799

Taxonomy
Taxonomy Code 174400000X - Specialist
License Number 00015626
State AL
Is Primary Yes
Taxonomy Code 261Q00000X - Clinic/Center
License Number 00015626
State AL
Is Primary No

Other Provider Identifiers
Issuer MEDICAID
Number 559914700
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PUROHIT PEDIATRIC CLINIC RETIREMENT PLAN 2023 161656159 2024-10-02 PUROHIT PEDIATRIC CLINIC 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2567419799
Plan sponsor’s address 516 QUINTARD AVENUE, STE B, ANNISTON, AL, 36201
PUROHIT PEDIATRIC CLINIC, LLC CASH BALANCE PLAN 2023 161656159 2024-10-02 PUROHIT PEDIATRIC CLINIC, LLC 33
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 2567419799
Plan sponsor’s address 516 QUINTARD AVENUE, STE B, ANNISTON, AL, 36201
PUROHIT PEDIATRIC CLINIC, LLC CASH BALANCE PLAN 2022 161656159 2023-09-26 PUROHIT PEDIATRIC CLINIC, LLC 39
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 2567419799
Plan sponsor’s address 516 QUINTARD AVENUE, STE B, ANNISTON, AL, 36201
PUROHIT PEDIATRIC CLINIC RETIREMENT PLAN 2022 161656159 2023-06-02 PUROHIT PEDIATRIC CLINIC 53
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2567419799
Plan sponsor’s address 516 QUINTARD AVENUE, STE B, ANNISTON, AL, 36201
PUROHIT PEDIATRIC CLINIC RETIREMENT PLAN 2021 161656159 2022-09-16 PUROHIT PEDIATRIC CLINIC 47
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2567419799
Plan sponsor’s address 516 QUINTARD AVENUE, STE B, ANNISTON, AL, 36201

Signature of
Role Plan administrator
Date 2022-09-16
Name of individual signing NARESH PUROHIT
PUROHIT PEDIATRIC CLINIC CASH BALANCE PLAN 2021 161656159 2022-09-07 PUROHIT PEDIATRIC CLINIC 33
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2020-01-01
Business code 621111
Sponsor’s telephone number 2567419799
Plan sponsor’s address 516 QUINTARD AVENUE, STE B, ANNISTON, AL, 36201

Signature of
Role Plan administrator
Date 2022-09-07
Name of individual signing NARESH PUROHIT
PUROHIT PEDIATRIC CLINIC RETIREMENT PLAN 2020 161656159 2021-06-28 PUROHIT PEDIATRIC CLINIC 41
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2567419799
Plan sponsor’s address 516 QUINTARD AVENUE, STE B, ANNISTON, AL, 36201

Signature of
Role Plan administrator
Date 2021-06-28
Name of individual signing CINDY PALMER
PUROHIT PEDIATRIC CLINIC RETIREMENT PLAN 2019 161656159 2020-07-27 PUROHIT PEDIATRIC CLINIC 36
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2567419799
Plan sponsor’s address 516 QUINTARD AVENUE, STE B, ANNISTON, AL, 36201
PUROHIT PEDIATRIC CLINIC RETIREMENT PLAN 2018 161656159 2019-07-16 PUROHIT PEDIATRIC CLINIC 30
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2567419799
Plan sponsor’s address 516 QUINTARD AVENUE, STE B, ANNISTON, AL, 36201
PUROHIT PEDIATRIC CLINIC RETIREMENT PLAN 2017 161656159 2018-09-13 PUROHIT PEDIATRIC CLINIC 33
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2013-01-01
Business code 621111
Sponsor’s telephone number 2567419799
Plan sponsor’s address 516 QUINTARD AVENUE, STE B, ANNISTON, AL, 36201

Agent

Name Role Address
PUROHIT, NARESH Agent 1231 STILLWATER RDANNISTON, AL 36207

Member

Name Role Address
PUROHIT, NARESH Member 1231 STILLWATER RDANNISTON, AL 36207

Related by officers

PUROHIT, NARESH

Alabama Answering Service, LLC Purohit family Investments, L.L.C. Matt Johnson Electric, LLC Devi, L.L.C. Durga, LLC Progress Constructions, Inc. Herin Mechanical Contractors, Inc.

Related by address

ANNISTON, AL

Abel Land & Development Company, Inc. Acme Sales Company of Anniston, Inc. Air Control Corporation Alabama Coca-Cola Bottling Company Alabama Parts Warehouse, Inc. Alabama Roofing and Sheet Metal Company, Inc. Alabama Throwing Company, Inc. John T. Davis Oil Company, Inc. Anniston Business Machines, Inc. Anniston Concrete Company, Inc.

516 QUINTARD AVEANNISTON, AL 36207

SHAKTI, Inc. Singulair, LLC Durga, LLC

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State

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