| Name: | Gulf Coast Patient Care Network, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Non-Profit Corporation |
| Status: | Dissolved |
| Date of registration: | 14 Mar 2012 (13 years ago) |
| Date of dissolution: | 14 Mar 2017 |
| Entity Number: | 000-033-860 |
| Register Number: | 000033860 |
| Historical Names: |
Gulf Coast Community Care Network, Inc.
|
| ZIP code: | 36617 |
| County: | Mobile |
| Place of Formation: | Mobile County |
| Principal Address: | 2451 FILLINGIM STREETMOBILE, AL 36617 |
Activities
PHYSICIAN LED CARE MANAGEMENT SERV TO BENEFIT AL GULF PATIENTS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1700140795 | 2012-06-25 | 2012-06-25 | 3280 DAUPHIN ST, BUILDING C, SUITE 115, MOBILE, AL, 366064060, US | 3280 DAUPHIN ST, BUILDING C, SUITE 115, MOBILE, AL, 366064060, US | |||||||||||||
|
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| Phone | +1 251-709-8998 |
Authorized person
| Name | MRS. LAURA M. O'CONNOR |
| Role | EXECUTIVE DIRECTOR |
| Phone | 2517098998 |
Taxonomy
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GULF COAST PATIENT CARE NETWORK INC RETIREMENT PLAN | 2014 | 455043439 | 2015-09-04 | GULF COAST PATIENT CARE NETWORK INC | 35 | |||||||||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2015-09-03 |
| Name of individual signing | SYLVIA BROWN |
| Role | Employer/plan sponsor |
| Date | 2015-09-03 |
| Name of individual signing | SYLVIA BROWN |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2013-10-01 |
| Business code | 624100 |
| Sponsor’s telephone number | 2514765656 |
| Plan sponsor’s address | 3280 DAUPHIN STREET STE C-115, MOBILE, AL, 36606 |
Signature of
| Role | Plan administrator |
| Date | 2015-03-17 |
| Name of individual signing | SYLVIA BROWN |
| Name | Role | Address |
|---|---|---|
| TATE, BECKY S | Agent | 141 MYRTLEWOOD LANEMOBILE, AL 36608 |
| Name | Role | Address |
|---|---|---|
| STIEGLER, SUSAN | Director | 251 NORTH BAYOU STREETMOBILE, AL 36652 |
| WHITE, CHARLES | Director | 321 FALON CTDEATSVILLE, AL 36022 |
| HOLLAND, JAMES | Director | 6650 COTTAGE HILL RD APT 1117MOBILE, AL 36695 |
| TATE, BECKY S | Director | 141 MYRTLEWOOD LANEMOBILE, AL 36608 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2012-05-30 | Name Change | Gulf Coast Community Care Network, Inc. | Gulf Coast Patient Care Network, Inc. |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
