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Good Hope Medical, Inc.

Details

Name: Good Hope Medical, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 21 Apr 2021 (4 years ago)
Entity Number: 000-848-321
Register Number: 000848321
County: Cullman
Place of Formation: Cullman County
Registered Office Street Address: 146 AUGUSTA TRAILCULLMAN, AL 35057
Registered Office Street Address ZIP Code: 35057
Authorized Capital: 5000@$1.00PV

Activities ANY LAWFUL PURPOSE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1043978687 2021-12-01 2023-11-02 1225 COUNTY ROAD 437, CULLMAN, AL, 350550203, US 1225 COUNTY ROAD 437, CULLMAN, AL, 35055, US

Contacts

Phone +1 256-615-2055
Fax 2567475219
Phone +1 706-992-9232

Authorized person

Name MRS. LINDSAY HAWKINS HARRISON
Role CEO, NP
Phone 2566152055

Taxonomy

Taxonomy Code 261QU0200X - Urgent Care Clinic/Center
Is Primary Yes
Taxonomy Code 261QX0100X - Occupational Medicine Clinic/Center
Is Primary No

Other Provider Identifiers

Issuer LINDSAY HARRISON
Number 1447697016
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GOOD HOPE MEDICAL, INC. 401(K) PLAN 2023 863446339 2024-07-30 GOOD HOPE MEDICAL, INC. 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2023-01-01
Business code 621111
Sponsor’s telephone number 2566152055
Plan sponsor’s address 1225 COUNTY ROAD 437, CULLMAN, AL, 35055

Director

Name Role Address
HARRISON, LINDSAY HAWKINS NP Director 146 AUGUSTA TRAILCULLMAN, AL 35057
HARRISON, ADAM CHARLES Director 146 AUGUSTA TRAILCULLMAN, AL 35057
HAWKINS, DAVID ELGIN Director 146 AUGUSTA TRAILCULLMAN, AL 35057

Incorporator

Name Role Address
HARRISON, LINDSAY H Incorporator 146 AUGUSTA TRAILCULLMAN, AL 35057

Agent

Name Role Address
HARRISON, LINDSAY H Agent 146 AUGUSTA TRAILCULLMAN, AL 35057

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State