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  5. Baptist Health Centers, LLC

Baptist Health Centers, LLC

Details

Name: Baptist Health Centers, LLC
Jurisdiction: Alabama
Legal type: Foreign Limited Liability Company
Status: Exists
Date of registration: 27 Jan 1986 (39 years ago)
Entity Number: 000-108-562
Register Number: 000108562
Historical Names: Montclair Medical Clinics, Inc.
Baptist Health Centers, Inc.
ZIP code: 36104
County: Montgomery
Place of Formation: Delaware
Principal Address: 1445 ROSS AVE SUITE 1400DALLAS, TX 75202
Registered Office Street Address: 2 NORTH JACKSON ST., SUITE 605MONTGOMERY, AL 36104

Activities CLINICAL FACILITIES

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
UFG8VQHFGRK5 2024-01-23 3980 COLONNADE PKWY, BIRMINGHAM, AL, 35243, 2382, USA 3980 COLONNADE PKWY, BIRMINGHAM, AL, 35243, 2382, USA

Business Information
Congressional District 06
State/Country of Incorporation AL, USA
Activation Date 2023-01-25
Initial Registration Date 2022-02-03
Entity Start Date 2020-01-01
Fiscal Year End Close Date Dec 31

Points of Contacts
Electronic Business
Title PRIMARY POC
Name TAMMY STOVER
Address 3980 COLONNADE PARKWAY, BIRMINGHAM, AL, 35243, USA
Government Business
Title PRIMARY POC
Name TAMMY STOVER
Address 3980 COLONNADE PARKWAY, BIRMINGHAM, AL, 35243, USA
Past Performance Information not Available

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1457984106 2020-02-20 2020-02-20 2950 HIGHWAY 78 E, JASPER, AL, 355018903, US 2950 HIGHWAY 78 E, JASPER, AL, 355018903, US

Contacts
Phone +1 205-221-5374

Authorized person
Name DEBRA LEE
Role VP FINANCE PHYS DEV, TENET
Phone 4698932000

Taxonomy
Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary Yes

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
7BB64 Obsolete Non-Manufacturer 2015-02-06 2024-01-29 2024-01-28 No data

Contact Information
POC ANNE-LAURA COOK
Phone +1 205-504-3398
Address RIDGE PARK PLACE 1130 22ND ST S STE 1000, BIRMINGHAM, AL, 35205 2881, 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
BAPTIST HEALTH CENTERS, INC. SELF-INSURED HEALTH PLANS 2012 630925859 2013-05-23 BAPTIST HEALTH CENTERS, INC. 201
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1994-07-01
Business code 621111
Sponsor’s telephone number 2057155942
Plan sponsor’s mailing address 3201 FOURTH AVENUE SOUTH, BIRMINGHAM, AL, 352830605
Plan sponsor’s address PO BOX 830605, BIRMINGHAM, AL, 352830605

Number of participants as of the end of the plan year
Active participants 176
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2013-05-23
Name of individual signing PAIGE BIDDLE
Valid signature Filed with authorized/valid electronic signature
BAPTIST HEALTH CENTERS, INC. INSURED BENEFIT PLANS 2012 630925859 2013-05-23 BAPTIST HEALTH CENTERS, INC. 295
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1994-07-01
Business code 621111
Sponsor’s telephone number 2057155942
Plan sponsor’s mailing address 3201 FOURTH AVENUE SOUTH, BIRMINGHAM, AL, 352830605
Plan sponsor’s address PO BOX 830605, BIRMINGHAM, AL, 352830605

Number of participants as of the end of the plan year
Active participants 282
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2013-05-23
Name of individual signing PAIGE BIDDLE
Valid signature Filed with authorized/valid electronic signature
BAPTIST HEALTH CENTERS, INC. SELF-INSURED HEALTH PLANS 2011 630925859 2012-10-03 BAPTIST HEALTH CENTERS, INC. 188
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1994-07-01
Business code 621111
Sponsor’s telephone number 2057155942
Plan sponsor’s mailing address 3201 FOURTH AVENUE SOUTH, BIRMINGHAM, AL, 352830605
Plan sponsor’s address PO BOX 830605, BIRMINGHAM, AL, 352830605

Plan administrator’s name and address
Administrator’s EIN 630925859
Plan administrator’s name BAPTIST HEALTH CENTERS, INC.
Plan administrator’s address 3201 FOURTH AVENUE SOUTH, BIRMINGHAM, AL, 352830605
Administrator’s telephone number 2057155942

Number of participants as of the end of the plan year
Active participants 169
Retired or separated participants receiving benefits 1
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2012-10-03
Name of individual signing PAIGE BIDDLE
Valid signature Filed with authorized/valid electronic signature
BAPTIST HEALTH CENTERS, INC. INSURED BENEFIT PLANS 2011 630925859 2012-10-03 BAPTIST HEALTH CENTERS, INC. 258
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1994-07-01
Business code 621111
Sponsor’s telephone number 2057155942
Plan sponsor’s mailing address 3201 FOURTH AVENUE SOUTH, BIRMINGHAM, AL, 352830605
Plan sponsor’s address PO BOX 830605, BIRMINGHAM, AL, 352830605

Plan administrator’s name and address
Administrator’s EIN 630925859
Plan administrator’s name BAPTIST HEALTH CENTERS, INC.
Plan administrator’s address 3201 FOURTH AVENUE SOUTH, BIRMINGHAM, AL, 352830605
Administrator’s telephone number 2057155942

Number of participants as of the end of the plan year
Active participants 233
Retired or separated participants receiving benefits 2
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2012-10-03
Name of individual signing PAIGE BIDDLE
Valid signature Filed with authorized/valid electronic signature
BAPTIST HEALTH CENTERS, INC. INSURED BENEFIT PLANS 2010 630925859 2011-06-24 BAPTIST HEALTH CENTERS, INC. 258
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1994-07-01
Business code 621111
Sponsor’s telephone number 2057155942
Plan sponsor’s mailing address 3201 FOURTH AVENUE SOUTH, BIRMINGHAM, AL, 352830605
Plan sponsor’s address PO BOX 830605, BIRMINGHAM, AL, 352830605

Plan administrator’s name and address
Administrator’s EIN 630925859
Plan administrator’s name BAPTIST HEALTH CENTERS, INC.
Plan administrator’s address 3201 FOURTH AVENUE SOUTH, BIRMINGHAM, AL, 352830605
Administrator’s telephone number 2057155942

Number of participants as of the end of the plan year
Active participants 258
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2011-06-24
Name of individual signing PAIGE BIDDLE
Valid signature Filed with authorized/valid electronic signature
BAPTIST HEALTH CENTERS, INC. SELF-INSURED HEALTH PLANS 2010 630925859 2011-06-24 BAPTIST HEALTH CENTERS, INC. 260
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1994-07-01
Business code 621111
Sponsor’s telephone number 2057155942
Plan sponsor’s mailing address 3201 FOURTH AVENUE SOUTH, BIRMINGHAM, AL, 352830605
Plan sponsor’s address PO BOX 830605, BIRMINGHAM, AL, 352830605

Plan administrator’s name and address
Administrator’s EIN 630925859
Plan administrator’s name BAPTIST HEALTH CENTERS, INC.
Plan administrator’s address 3201 FOURTH AVENUE SOUTH, BIRMINGHAM, AL, 352830605
Administrator’s telephone number 2057155942

Number of participants as of the end of the plan year
Active participants 185
Retired or separated participants receiving benefits 3
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2011-06-24
Name of individual signing PAIGE BIDDLE
Valid signature Filed with authorized/valid electronic signature
BAPTIST HEALTH CENTERS, INC. SELF-INSURED HEALTH PLANS 2009 630925859 2010-09-27 BAPTIST HEALTH CENTERS, INC. 278
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1994-07-01
Business code 621111
Sponsor’s telephone number 2057155942
Plan sponsor’s mailing address 3201 FOURTH AVENUE SOUTH, BIRMINGHAM, AL, 352830605
Plan sponsor’s address PO BOX 830605, BIRMINGHAM, AL, 352830605

Plan administrator’s name and address
Administrator’s EIN 630925859
Plan administrator’s name BAPTIST HEALTH CENTERS, INC.
Plan administrator’s address 3201 FOURTH AVENUE SOUTH, BIRMINGHAM, AL, 352830605
Administrator’s telephone number 2057155942

Number of participants as of the end of the plan year
Active participants 250
Retired or separated participants receiving benefits 10
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2010-09-27
Name of individual signing PAIGE BIDDLE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-27
Name of individual signing PAIGE BIDDLE
Valid signature Filed with authorized/valid electronic signature
BAPTIST HEALTH CENTERS, INC. INSURED BENEFIT PLANS 2009 630925859 2010-09-27 BAPTIST HEALTH CENTERS, INC. 335
File View Page
Three-digit plan number (PN) 502
Effective date of plan 1994-07-01
Business code 621111
Sponsor’s telephone number 2057155942
Plan sponsor’s mailing address 3201 FOURTH AVENUE SOUTH, BIRMINGHAM, AL, 352830605
Plan sponsor’s address PO BOX 830605, BIRMINGHAM, AL, 352830605

Plan administrator’s name and address
Administrator’s EIN 630925859
Plan administrator’s name BAPTIST HEALTH CENTERS, INC.
Plan administrator’s address 3201 FOURTH AVENUE SOUTH, BIRMINGHAM, AL, 352830605
Administrator’s telephone number 2057155942

Number of participants as of the end of the plan year
Active participants 258
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2010-09-27
Name of individual signing PAIGE BIDDLE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2010-09-27
Name of individual signing PAIGE BIDDLE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
CT CORPORATION SYSTEM Agent 6190 POWERS FERRY RD STE 600ATLANTA, GA 30339

Events

Event Date Event Type Old Value New Value
2015-10-06 Name Change Baptist Health Centers, Inc. Baptist Health Centers, LLC
1994-08-24 Name Merged No data Citizens Healthcare Services, Inc.
1994-08-24 Name Merged No data Baptist Medical Services, Inc.
1994-08-24 Name Merged No data BMC-Princeton Healthcare Services, Inc.
1994-08-24 Name Merged No data Cherokee Healthcare Services, Inc.
1994-08-24 Name Merged No data DeKalb Healthcare Services, Inc.
1994-08-24 Name Change Montclair Medical Clinics, Inc. Baptist Health Centers, Inc.
1988-04-26 Name Merged No data George C. Pitts, M.D., P.C.
1988-02-12 Name Merged No data Alabama OB/GYN Clinics, Inc.
1988-02-12 Name Merged No data Cardiovascular Associates, Inc.

Related by officers

CT CORPORATION SYSTEM

RedPrairie Services Corporation Mercy Life of Alabama Birmingham Broadcasting (WVTM TV) LLC Alabama Bedding Mfg. Co., Inc. Maxair Mechanical, LLC MAKO Surgical Corp. GMSPHC Partners LLC West Roofing Systems, Inc. Clarient Diagnostic Services, Inc. Braden Group (Cherokee), LLC

Related by address

1445 ROSS AVE SUITE 1400DALLAS, TX 75202

BHS Affinity, LLC

2 NORTH JACKSON ST., SUITE 605MONTGOMERY, AL 36104

Media Services, Inc. Alabama T. V. Cable, Inc. Johnson Outdoors Marine Electronics, Inc. CitiCapital Commercial Corporation Associates Financial Services Company of Alabama, Inc. Associates Financial Services Company, Inc. Bama Supply Company, Inc. Bearings, Inc. Bon Secour Properties Inc. Berney, Inc.

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State

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