| Name: | Cullman Regional Medical Center, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Non-Profit Corporation |
| Status: | Exists |
| Date of registration: | 06 Dec 1991 (33 years ago) |
| Entity Number: | 000-069-860 |
| Register Number: | 000069860 |
| County: | Cullman |
| Place of Formation: | Cullman County |
| Principal Address: | CULLMAN, AL |
| Registered Office Street Address: | 1912 AL HWY 157, POB 1, SUITE 200CULLMAN, AL 35058 |
| Registered Office Street Address ZIP Code: | 35058 |
Activities
PROMOTE PUBLIC HEALTH
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| P2NXZH68FGY9 | 2025-03-18 | 1912 AL HWY 157, CULLMAN, AL, 35058, 3614, USA | P.O. BOX 1108, 1912 AL HWY 157, CULLMAN, AL, 35056, 1108, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Congressional District | 04 |
| State/Country of Incorporation | AL, USA |
| Activation Date | 2024-03-20 |
| Initial Registration Date | 2008-02-01 |
| Entity Start Date | 1993-02-01 |
| Fiscal Year End Close Date | Jun 30 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | NYCOLE HAWKINS |
| Role | DIRECTOR |
| Address | P.O. BOX 1108, CULLMAN, AL, 35055, USA |
| Title | ALTERNATE POC |
| Name | NYCOLE HAWKINS |
| Role | REVENUE CYCLE DIRECTOR |
| Address | P.O. BOX 1108, CULLMAN, AL, 35056, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | NYCOLE HAWKINS |
| Role | DIRECTOR |
| Address | P.O. BOX 1108, CULLMAN, AL, 35055, USA |
| Title | ALTERNATE POC |
| Name | NYCOLE HAWKINS |
| Role | REVENUE CYCLE DIRECTOR |
| Address | P.O. BOX 1108, CULLMAN, AL, 35056, USA |
| Past Performance | |
|---|---|
| Title | PRIMARY POC |
| Name | DEANNA SMOTHERS |
| Role | ENROLLMENT |
| Address | P.O. BOX 1108, CULLMAN, AL, 35055, USA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1710640305 | 2021-10-20 | 2024-03-15 | PO BOX 1108, CULLMAN, AL, 350561108, US | 1549 HIGHWAY 31 NW, HARTSELLE, AL, 356404431, US | |||||||||||||||||
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| Phone | +1 256-737-2081 |
| Fax | 2567375003 |
| Phone | +1 256-735-5920 |
Authorized person
| Name | NESHA DONALDSON |
| Role | COO |
| Phone | 2567372930 |
Taxonomy
| Taxonomy Code | 261QR0200X - Radiology Clinic/Center |
| Is Primary | Yes |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4ZC13 | Obsolete | Non-Manufacturer | 2008-02-04 | 2024-03-20 | No data | 2025-03-18 | |||||||||||||||
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| POC | NYCOLE HAWKINS |
| Phone | +1 256-735-5034 |
| Fax | +1 256-735-5003 |
| Address | 1912 AL HWY 157, CULLMAN, AL, 35058 3614, 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 |
|---|
| LEI number | Registered As | Jurisdiction Of Formation | General Category | Entity Status | Entity created at | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 254900B2QP297O0UUH97 | 000-069-860 | US-AL | GENERAL | ACTIVE | 1991-12-06 | |||||||||||||||||||
|
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| Legal | C/O HICKS, CHARLOTTE, 1912 AL HWY 157, POB 1, SUITE 200, CULLMAN, US-AL, US, 35058 |
| Headquarters | 1912 AL HWY 157, POB 1, SUITE 200, CULLMAN, US-AL, US, 35058 |
Registration details
| Registration Date | 2020-04-24 |
| Last Update | 2024-03-27 |
| Status | ISSUED |
| Next Renewal | 2025-04-24 |
| LEI Issuer | 5493001KJTIIGC8Y1R12 |
| Corroboration Level | FULLY_CORROBORATED |
| Data Validated As | 000-069-860 |
| Name | Role | Address |
|---|---|---|
| LANGLEY, EUGENE | Incorporator | No data |
| RILEY, ERV | Incorporator | No data |
| HENDERSON, ROY | Incorporator | ROUTE 3CULLMAN, AL |
| Name | Role |
|---|---|
| HICKS, CHARLOTTE | Agent |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
