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University of Alabama Health Services Foundation, P.C.

Details

Name: University of Alabama Health Services Foundation, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Non-Profit Corporation
Status: Exists
Date of registration: 02 Jul 1973 (51 years ago)
Entity Number: 000-068-294
Register Number: 000068294
Historical Names: University of Alabama Health Services Foundation
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 500 22ND ST S STE 504BIRMINGHAM, AL 35233
Registered Office Street Address ZIP Code: 35233

Activities SUPPORT/AID/ADVANCE STUDY & INVESTIGATING HUMAN ILLNESSES

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
DLWLAM8TNFT7 2024-04-18 500 22ND ST S STE 510, BIRMINGHAM, AL, 35233, 3110, USA 500 22ND ST S STE 500, BIRMINGHAM, AL, 35233, 3110, USA

Business Information
Congressional District 07
State/Country of Incorporation AL, USA
Activation Date 2023-04-21
Initial Registration Date 2003-12-02
Entity Start Date 1973-01-01
Fiscal Year End Close Date Sep 30

Service Classifications
NAICS Codes 621112, 621340, 621991, 621999

Points of Contacts
Electronic Business
Title PRIMARY POC
Name STEVE PAYNE
Role CFO INTERIM
Address 500 22ND STREET SOUTH, SUITE 500, BIRMINGHAM, AL, 35233, USA
Title ALTERNATE POC
Name STEPHANIE W MCCLINTON
Role CONTROLLER
Address 500 22ND STREET SOUTH, SUITE 500, BIRMINGHAM, AL, 35233, USA
Government Business
Title PRIMARY POC
Name STEVE PAYNE
Role CFO INTERIM
Address 500 22ND STREET SOUTH, BIRMINGHAM, AL, 35233, USA
Title ALTERNATE POC
Name STEPHANIE W MCCLINTON
Role CONTROLLER
Address 500 22ND STREET SOUTH, SUITE 500, BIRMINGHAM, AL, 35233, USA
Past Performance
Title PRIMARY POC
Name MIKE HECKMAN
Role CFO
Address 500 22ND STREET SOUTH, SUITE 500, BIRMINGHAM, AL, 35233, USA
Title ALTERNATE POC
Name STEPHANIE W MCCLINTON
Role CONTROLLER
Address 500 22ND STREET SOUTH, SUITE 500, BIRMINGHAM, AL, 35233, USA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1720761554 2023-08-09 2023-08-09 DEPT 8454, PO BOX 11407 C/O ORAL SURGERY AT INVERNESS, BIRMINGHAM, AL, 352468454, US 1 INVERNESS CENTER PKWY STE 200, BIRMINGHAM, AL, 352424865, US

Contacts
Phone +1 205-558-2500
Phone +1 205-776-0599

Authorized person
Name MR. THOMAS MCAVOY
Role ASSOCIATE VP, CORPORATE ADMIN SVCS
Phone 2057319399

Taxonomy
Taxonomy Code 1223S0112X - Oral and Maxillofacial Surgery (Dentist)
Is Primary Yes

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
3MNB1 Active Non-Manufacturer 2003-12-03 2024-05-07 2029-05-07 2025-04-26

Contact Information
POC STEVE PAYNE
Phone +1 205-731-9672
Fax +1 205-731-6003
Address 500 22ND ST S STE 510, BIRMINGHAM, JEFFERSON, AL, 35233 3110, 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

Agent

Name Role
FRY, T C JR Agent

Incorporator

Name Role
KIRKLIN, JOHN W Incorporator
SHEEHY, THOMAS W SR Incorporator
WITTEN, DAVID M Incorporator

Events

Event Date Event Type Old Value New Value
1984-10-01 Name Change University of Alabama Health Services Foundation University of Alabama Health Services Foundation, P.C.

Awards

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
No data IDV VA247P0887 2009-04-01 No data No data
Unique Award Key CONT_IDV_VA247P0887_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title NEUROSURGERY SERVICES
NAICS Code 622110: GENERAL MEDICAL AND SURGICAL HOSPITALS
Product and Service Codes Q510: NEUROLOGY SERVICES

Recipient Details
Recipient UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, P.C.
UEI DLWLAM8TNFT7
Legacy DUNS 081388753
Recipient Address UNITED STATES, 500 22ND ST S STE 500, BIRMINGHAM, 352333110
DO AWARD VA521C95284 2009-04-01 2009-09-30 2009-09-30
Unique Award Key CONT_AWD_VA521C95284_3600_VA247P0887_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title NEUROSURGERY SERVICES
NAICS Code 622110: GENERAL MEDICAL AND SURGICAL HOSPITALS
Product and Service Codes Q510: NEUROLOGY SERVICES

Recipient Details
Recipient UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, P.C.
UEI DLWLAM8TNFT7
Legacy DUNS 081388753
Recipient Address UNITED STATES, 500 22ND ST S STE 500, BIRMINGHAM, 352333110
DCA AWARD VA247P0442 2008-04-01 2008-09-30 2012-09-30
Unique Award Key CONT_AWD_VA247P0442_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title ELECTROPHYSIOLOGY (EP) SERVICES
NAICS Code 622110: GENERAL MEDICAL AND SURGICAL HOSPITALS
Product and Service Codes Q502: CARDIO-VASCULAR SERVICES

Recipient Details
Recipient UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, P.C.
UEI DLWLAM8TNFT7
Legacy DUNS 081388753
Recipient Address UNITED STATES, 500 22ND ST S STE 500, BIRMINGHAM, 352333110
DCA AWARD VA247P0417 2008-02-01 2008-09-30 2008-09-30
Unique Award Key CONT_AWD_VA247P0417_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title CRITICAL CARE ANESTHESIOLOGY SERVICE
NAICS Code 622110: GENERAL MEDICAL AND SURGICAL HOSPITALS
Product and Service Codes Q501: ANESTHESIOLOGY SERVICES

Recipient Details
Recipient UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, P.C.
UEI DLWLAM8TNFT7
Legacy DUNS 081388753
Recipient Address UNITED STATES, 500 22ND ST S STE 500, BIRMINGHAM, 352333110
DO AWARD V521C20332 2008-02-01 2009-01-31 2009-01-31
Unique Award Key CONT_AWD_V521C20332_3600_VA247P0332_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title AUTOPSY SERVICES
NAICS Code 621511: MEDICAL LABORATORIES
Product and Service Codes Q515: PATHOLOGY SERVICES

Recipient Details
Recipient UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, P.C.
UEI DLWLAM8TNFT7
Legacy DUNS 081388753
Recipient Address UNITED STATES, 500 22ND ST S STE 500, SUITE 500, BIRMINGHAM, 352333110
DCA AWARD V247P2080 2008-02-01 2009-01-31 2009-01-31
Unique Award Key CONT_AWD_V247P2080_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title NUTRITION SERVICES
NAICS Code 621999: ALL OTHER MISCELLANEOUS AMBULATORY HEALTH CARE SERVICES
Product and Service Codes Q201: GENERAL HEALTH CARE SERVICES

Recipient Details
Recipient UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, P.C.
UEI DLWLAM8TNFT7
Legacy DUNS 081388753
Recipient Address UNITED STATES, 500 22ND ST S STE 500, SUITE 500, BIRMINGHAM, 352333110
DO AWARD VA521C85141 2008-02-01 2009-01-31 2010-07-31
Unique Award Key CONT_AWD_VA521C85141_3600_VA247P0332_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title AUTOPSY SERVICES
NAICS Code 621511: MEDICAL LABORATORIES
Product and Service Codes Q515: PATHOLOGY SERVICES

Recipient Details
Recipient UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, P.C.
UEI DLWLAM8TNFT7
Legacy DUNS 081388753
Recipient Address UNITED STATES, 500 22ND ST S STE 500, SUITE 500, BIRMINGHAM, 352333110
No data IDV VA247P0332 2008-02-01 No data No data
Unique Award Key CONT_IDV_VA247P0332_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title AUTOPSY SERVICES
NAICS Code 621511: MEDICAL LABORATORIES
Product and Service Codes Q515: PATHOLOGY SERVICES

Recipient Details
Recipient UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, P.C.
UEI DLWLAM8TNFT7
Legacy DUNS 081388753
Recipient Address UNITED STATES, 500 22ND ST S STE 500, SUITE 500, BIRMINGHAM, 352333110
DCA AWARD V247P1252A 2008-01-01 2008-12-31 2008-12-31
Unique Award Key CONT_AWD_V247P1252A_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title ANESTHESIOLOGY SERVICES
NAICS Code 622110: GENERAL MEDICAL AND SURGICAL HOSPITALS
Product and Service Codes Q501: ANESTHESIOLOGY SERVICES

Recipient Details
Recipient UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, P.C.
UEI DLWLAM8TNFT7
Legacy DUNS 081388753
Recipient Address UNITED STATES, 500 22ND ST S STE 500, SUITE 500, BIRMINGHAM, 352333110
DCA AWARD VA247P0040 2007-04-01 2008-03-31 2009-03-31
Unique Award Key CONT_AWD_VA247P0040_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title RADIATION ONCOLOGY SERVICES
NAICS Code 622110: GENERAL MEDICAL AND SURGICAL HOSPITALS
Product and Service Codes Q522: RADIOLOGY SERVICES

Recipient Details
Recipient UNIVERSITY OF ALABAMA HEALTH SERVICES FOUNDATION, P.C.
UEI DLWLAM8TNFT7
Legacy DUNS 081388753
Recipient Address UNITED STATES, 500 22ND ST S STE 500, SUITE 500, BIRMINGHAM, 352333110

Related by officers

FRY, T C JR

FRY WINES, LLC

KIRKLIN, JOHN W

Discover Systems, Inc.

Related by address

500 22ND ST S STE 504BIRMINGHAM, AL 35233

Medical Advancement Foundation The Workplace, Inc.

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State

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