| Name: | Horse Creek Family Medicine, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 22 May 2003 (22 years ago) |
| Entity Number: | 000-229-140 |
| Register Number: | 000229140 |
| ZIP code: | 35148 |
| County: | Walker |
| Place of Formation: | Walker County |
| Principal Address: | SUMITON, AL |
| Registered Office Street Address: | 259 PINE VIEW STSUMITON, AL 35148 |
| Authorized Capital: | $1,000 |
Activities
OPERATE CLINIC/PROVIDE MEDICAL FACILITY FOR MEDICAL PROFESSIONAL
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740459841 | 2008-02-22 | 2008-02-22 | PO BOX 366, DORA, AL, 350620366, US | 497 MAIN ST, SUMITON, AL, 351484328, US | |||||||||||||||||
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| Phone | +1 205-648-7887 |
| Fax | 2056485115 |
Authorized person
| Name | MRS. CAROL LYNN TWILLEY |
| Role | VICE PRESIDENT |
| Phone | 2056487887 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| State | AL |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HORSE CREEK FAMILY MEDICINE INC. 401K PLAN | 2011 | 421590093 | 2012-06-15 | HORSE CREEK FAMILY MEDICINE INC. | 10 | |||||||||||||||||||||||||||||
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| Administrator’s EIN | 421590093 |
| Plan administrator’s name | HORSE CREEK FAMILY MEDICINE INC. |
| Plan administrator’s address | PO BOX 366, DORA, AL, 35062 |
| Administrator’s telephone number | 2054837117 |
Signature of
| Role | Plan administrator |
| Date | 2012-06-15 |
| Name of individual signing | FLOYD BURTON |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2007-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2056487887 |
| Plan sponsor’s address | PO BOX 366, DORA, AL, 35062 |
Plan administrator’s name and address
| Administrator’s EIN | 421590093 |
| Plan administrator’s name | HORSE CREEK FAMILY MEDICINE INC. |
| Plan administrator’s address | PO BOX 366, DORA, AL, 35062 |
| Administrator’s telephone number | 2056487887 |
Signature of
| Role | Plan administrator |
| Date | 2012-01-27 |
| Name of individual signing | FLOYD BURTON |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2007-01-01 |
| Business code | 621111 |
| Sponsor’s telephone number | 2056487887 |
| Plan sponsor’s address | PO BOX 366, DORA, AL, 35062 |
Plan administrator’s name and address
| Administrator’s EIN | 421590093 |
| Plan administrator’s name | HORSE CREEK FAMILY MEDICINE INC. |
| Plan administrator’s address | PO BOX 366, DORA, AL, 35062 |
| Administrator’s telephone number | 2056487887 |
Signature of
| Role | Plan administrator |
| Date | 2012-01-19 |
| Name of individual signing | FLOYD BURTON |
| Name | Role |
|---|---|
| BURTON, FLOYD | Agent |
| Name | Role |
|---|---|
| BURTON, FLOYD | Incorporator |
| TWILLEY, CAROL | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
