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Franklin Primary Health Center, Inc.

Details

Name: Franklin Primary Health Center, Inc.
Jurisdiction: Alabama
Legal type: Domestic Non-Profit Corporation
Status: Exists
Date of registration: 31 Jan 1975 (50 years ago)
Entity Number: 000-745-523
Register Number: 000745523
Historical Names: Franklin Memorial Clinic, Inc.
Franklin Memorial Primary Health Center
Place of Formation: Mobile County
Principal Address: MOBILE, AL

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
NTX6FY3MRNT5 2024-10-01 1303 DR MARTIN L KING JR AVE, MOBILE, AL, 36603, 5341, USA P. O. BOX 2048, MOBILE, AL, 36652, 2048, USA

Business Information
Congressional District 01
State/Country of Incorporation AL, USA
Activation Date 2023-10-03
Initial Registration Date 2003-11-26
Entity Start Date 1975-01-31
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 621498

Points of Contacts
Electronic Business
Title PRIMARY POC
Name CHARLES WHITE
Role CEO
Address 1303 DR. MARTIN LUTHER KING JR. AVENUE, MOBILE, AL, 36603, 5341, USA
Title ALTERNATE POC
Name JUDY MITCHELL
Role COO
Address 1303 DR. MARTIN LUTHER KING JR. AVENUE, MOBILE, AL, 36603, 5341, USA
Government Business
Title PRIMARY POC
Name CHARLES WHITE
Role CEO
Address 1303 DR. MARTIN LUTHER KING JR. AVENUE, MOBILE, AL, 36603, 5341, USA
Title ALTERNATE POC
Name JUDY MITCHELL
Role COO
Address 1303 DR. MARTIN LUTHER KING JR. AVENUE, MOBILE, AL, 36603, 5341, USA
Past Performance Information not Available

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1043794480 2018-09-21 2022-08-30 PO BOX 2048, MOBILE, AL, 366522048, US 1303 DR MARTIN L KING JR AVE, MOBILE, AL, 366035341, US

Contacts
Phone +1 251-432-4117
Fax 2514367765

Authorized person
Name CHARLES N/A WHITE
Role CEO
Phone 2514324117

Taxonomy
Taxonomy Code 104100000X - Social Worker
Is Primary No
Taxonomy Code 122300000X - Dentist
Is Primary No
Taxonomy Code 133N00000X - Nutritionist
Is Primary No
Taxonomy Code 152W00000X - Optometrist
Is Primary No
Taxonomy Code 171M00000X - Case Manager/Care Coordinator
Is Primary No
Taxonomy Code 183500000X - Pharmacist
Is Primary No
Taxonomy Code 207Q00000X - Family Medicine Physician
Is Primary No
Taxonomy Code 207R00000X - Internal Medicine Physician
Is Primary No
Taxonomy Code 207V00000X - Obstetrics & Gynecology Physician
Is Primary No
Taxonomy Code 207W00000X - Ophthalmology Physician
Is Primary No
Taxonomy Code 208000000X - Pediatrics Physician
Is Primary No
Taxonomy Code 2085B0100X - Body Imaging Physician
Is Primary No
Taxonomy Code 225100000X - Physical Therapist
Is Primary No
Taxonomy Code 261QF0400X - Federally Qualified Health Center (FQHC)
Is Primary Yes
Taxonomy Code 363L00000X - Nurse Practitioner
Is Primary No

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
3MLA8 Active Non-Manufacturer 2003-11-26 2024-09-19 2029-09-19 2025-09-17

Contact Information
POC CHARLES WHITE
Phone +1 251-434-8188
Fax +1 251-434-8181
Address 1303 DR MARTIN L KING JR AVE, MOBILE, AL, 36603 5341, UNITED STATES

Ownership of Offeror Information
Highest Level Owner Information not Available
Immediate Level Owner Information not Available
List of Offerors (0) Information not Available

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
FRANKLIN PRIMARY HEALTH CENTER, INC. TAX DEFERRED ANNUITY PLAN 2023 630695975 2024-09-11 FRANKLIN PRIMARY HEALTH CENTER, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 2514367680
Plan sponsor’s address 1303 DR MARTIN LUTHER KING JR AVE, P.O. BOX 2048, MOBILE, AL, 366522048

Signature of
Role Plan administrator
Date 2024-09-11
Name of individual signing CHARLES WHITE
Valid signature Filed with authorized/valid electronic signature
FRANKLIN PRIMARY HEALTH CENTER, INC. TAX DEFERRED ANNUITY PLAN 2022 630695975 2023-08-08 FRANKLIN PRIMARY HEALTH CENTER, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 2514367680
Plan sponsor’s address 1303 DR MARTIN LUTHER KING JR AVE, P.O. BOX 2048, MOBILE, AL, 366522048

Signature of
Role Plan administrator
Date 2023-08-08
Name of individual signing CHARLES WHITE
FRANKLIN PRIMARY HEALTH CENTER, INC. TAX DEFERRED ANNUITY PLAN 2021 630695975 2022-09-12 FRANKLIN PRIMARY HEALTH CENTER, INC. 8
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 2514367680
Plan sponsor’s address 1303 DR MARTIN LUTHER KING JR AVE, P.O. BOX 2048, MOBILE, AL, 366522048

Signature of
Role Plan administrator
Date 2022-09-12
Name of individual signing CHARLES WHITE
FRANKLIN PRIMARY HEALTH CENTER, INC. TAX DEFERRED ANNUITY PLAN 2020 630695975 2021-10-11 FRANKLIN PRIMARY HEALTH CENTER, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 2514367680
Plan sponsor’s address 1303 DR MARTIN LUTHER KING JR AVE, P.O. BOX 2048, MOBILE, AL, 366522048

Signature of
Role Plan administrator
Date 2021-10-11
Name of individual signing CHARLES WHITE
FRANKLIN PRIMARY HEALTH CENTER, INC. 403B TAX DEFERRED ANNUITY 2019 630695975 2021-01-13 FRANKLIN PRIMARY HEALTH CENTER, INC. 266
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2514367680
Plan sponsor’s mailing address PO BOX 2048, MOBILE, AL, 366522048
Plan sponsor’s address 1303 DR. MARTIN LUTHER KING, JR. AV, HUMAN RESOURCE DEPARTMENT, MOBILE, AL, 366035341

Number of participants as of the end of the plan year
Active participants 208
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 73
Number of participants with account balances as of the end of the plan year 282

Signature of
Role Plan administrator
Date 2021-01-13
Name of individual signing CHARLES WHITE
Valid signature Filed with authorized/valid electronic signature
FRANKLIN PRIMARY HEALTH CENTER, INC. TAX DEFERRED ANNUITY PLAN 2019 630695975 2020-08-26 FRANKLIN PRIMARY HEALTH CENTER, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 2514367680
Plan sponsor’s address 1303 DR MARTIN LUTHER KING JR AVE, P.O. BOX 2048, MOBILE, AL, 366522048

Signature of
Role Plan administrator
Date 2020-08-26
Name of individual signing CHARLES WHITE
FRANKLIN PRIMARY HEALTH CENTER INC 403B TAX DEFERRED ANNUITY 2018 630695975 2019-10-15 FRANKLIN PRIMARY HEALTH CENTER INC 261
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2514367680
Plan sponsor’s DBA name FRANKLIN PRIMARY HEALTH CENTER INC
Plan sponsor’s mailing address PO BOX 2048, MOBILE, AL, 366522048
Plan sponsor’s address 1303 DR MARTIN LUTHER KING JR AVE, MOBILE, AL, 36603

Number of participants as of the end of the plan year
Active participants 181
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 84

Signature of
Role Plan administrator
Date 2019-10-15
Name of individual signing CHARLES WHITE
Valid signature Filed with authorized/valid electronic signature
FRANKLIN PRIMARY HEALTH CENTER, INC. TAX DEFERRED ANNUITY PLAN 2018 630695975 2019-03-29 FRANKLIN PRIMARY HEALTH CENTER, INC. 9
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 2514367680
Plan sponsor’s address 1303 DR MARTIN LUTHER KING JR AVE, P.O. BOX 2048, MOBILE, AL, 366522048

Signature of
Role Plan administrator
Date 2019-03-29
Name of individual signing CHARLES WHITE
FRANKLIN PRIMARY HELATH CENTER INC 403B TAX DEFERRED ANNUITY 2017 630695975 2018-10-15 FRANKLIN PRIMARY HEALTH CENTER INC 238
File View Page
Three-digit plan number (PN) 002
Effective date of plan 2002-01-01
Business code 621111
Sponsor’s telephone number 2514367680
Plan sponsor’s DBA name FRANKLIN PRIMARY HEALTH CENTER INC
Plan sponsor’s mailing address PO BOX 2048, MOBILE, AL, 366522048
Plan sponsor’s address 1303 DR MARTIN LUTHER KING, JR. AVE, MOBILE, AL, 36603

Number of participants as of the end of the plan year
Active participants 181
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 79

Signature of
Role Plan administrator
Date 2018-10-15
Name of individual signing CHARLES WHITE
Valid signature Filed with authorized/valid electronic signature
FRANKLIN PRIMARY HEALTH CENTER, INC. TAX DEFERRED ANNUITY PLAN 2017 630695975 2018-10-15 FRANKLIN PRIMARY HEALTH CENTER, INC. 10
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1994-01-01
Business code 621111
Sponsor’s telephone number 2514367680
Plan sponsor’s address 1303 DR MARTIN LUTHER KING JR AVE, P.O. BOX 2048, MOBILE, AL, 366522048

Signature of
Role Plan administrator
Date 2018-10-15
Name of individual signing CHARLES WHITE

Incorporator

Name Role Address
CARSTENSEN, JAMES Incorporator No data
SNYDER, SISTER ROSLYN Incorporator No data
HUNT, MARSHALL Incorporator 3825 B LOTT RDEIGHTMILE, AL 36613
BUSKEY, JAMES E Incorporator No data

Events

Event Date Event Type Old Value New Value
1997-05-23 Name Change Franklin Memorial Primary Health Center Franklin Primary Health Center, Inc.
1977-11-04 Name Change Franklin Memorial Clinic, Inc. Franklin Memorial Primary Health Center

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Related by address

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Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State

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