| Name: | Warehouse Primary Care & Specialty Clinic, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 07 Apr 2022 (3 years ago) |
| Entity Number: | 001-013-361 |
| Register Number: | 001013361 |
| County: | Cullman |
| Place of Formation: | Alabama |
| Registered Office Street Address: | 2 North Jackson Street, Suite 605Montgomery, AL 36104 |
| Registered Office Street Address ZIP Code: | 36104 |
| Principal Address: | 117 2nd Avenue SoutheastCullman, AL 35055 |
| Principal Address ZIP Code: | 35055 |
| Authorized Capital: | 1000 |
Activities
medical services and related acts and activities
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1851037923 | 2022-05-10 | 2022-05-10 | 103 WEDGEWOOD CIR, CULLMAN, AL, 350576981, US | 117 2ND AVE SE, CULLMAN, AL, 350553511, US | |||||||||||||||||||||||||
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| Phone | +1 205-269-0878 |
| Phone | +1 256-291-8877 |
| Fax | 8333193812 |
Authorized person
| Name | WILLIAM KIAH BROWN |
| Role | OWNER |
| Phone | 2052690878 |
Taxonomy
| Taxonomy Code | 207N00000X - Dermatology Physician |
| Is Primary | No |
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
| Taxonomy Code | 207RR0500X - Rheumatology Physician |
| Is Primary | No |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WAREHOUSE PRIMARY CARE & SPECIALTY CLINIC, INC. 401(K) PLAN | 2023 | 881675129 | 2024-07-02 | WAREHOUSE PRIMARY CARE & SPECIALTY CLINIC, INC. | 17 | |||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-07-02 |
| Name of individual signing | BETHANY ALLDREDGE |
| Name | Role |
|---|---|
| C T Corporation System | Agent |
| Name | Role | Address |
|---|---|---|
| Bogard, Howard E | Incorporator | 420 North 20th Street, Suite 3400Birmingham, AL 35203 |
Date of last update: 17 Aug 2024
Sources: Alabama Secretary of State
