| Name: | WellStone, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Non-Profit Corporation |
| Status: | Exists |
| Date of registration: | 10 Dec 1968 (56 years ago) |
| Entity Number: | 000-070-218 |
| Register Number: | 000070218 |
| Historical Names: |
Huntsville-Madison County Mental Health Board,Incorporated
|
| County: | Madison |
| Place of Formation: | Madison County |
| Principal Address: | 4040 SOUTH MEMORIAL PARKWAYHUNTSVILLE, AL 35802 |
| Principal Address ZIP Code: | 35802 |
Activities
PUBLIC CORPORATION FILED UNDER ALABAMA CODE SECTION 22-51-1 ETAL
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JNLUGFPDX2R5 | 2024-12-10 | 4040 MEMORIAL PKWY SW, HUNTSVILLE, AL, 35802, 4364, USA | 4040 MEMORIAL PKWY SW STE C, HUNTSVILLE, AL, 35802, 1396, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
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| URL | HTTPS://WWW.wellstone.com |
| Congressional District | 05 |
| State/Country of Incorporation | AL, USA |
| Activation Date | 2023-12-13 |
| Initial Registration Date | 2006-10-30 |
| Entity Start Date | 1972-03-31 |
| Fiscal Year End Close Date | Sep 30 |
Service Classifications
| NAICS Codes | 621420, 623220 |
| Product and Service Codes | Q519 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | JEREMY BLAIR |
| Address | 4040 MEMORIAL PARKWAY, HUNTSVILLE, AL, 35802, 4364, USA |
| Title | ALTERNATE POC |
| Name | CHRIS VAN DYKE |
| Address | 4040 MEMORIAL PARKWAY, HUNTSVILLE, AL, 35802, 4364, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | JEREMY BLAIR |
| Address | 4040 MEMORIAL PARKWAY, HUNTSVILLE, AL, 35802, 4364, USA |
| Title | ALTERNATE POC |
| Name | CHRIS VAN DYKE |
| Address | 4040 MEMORIAL PARKWAY, HUNTSVILLE, AL, 35802, 4364, USA |
| Past Performance | Information not Available |
|---|
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1538902473 | 2024-06-18 | 2024-06-18 | 1131 EAGLETREE LN SW, HUNTSVILLE, AL, 358016491, US | 4040 MEMORIAL PKWY SW, HUNTSVILLE, AL, 358024364, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 256-705-6364 |
Authorized person
| Name | MARTIKA HARRELL |
| Role | HR CREDENTIALING |
| Phone | 2567159978 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4KZ93 | Active | Non-Manufacturer | 2006-10-31 | 2023-12-13 | 2028-12-13 | 2024-12-10 | |||||||||||||||
|
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| POC | JEREMY BLAIR |
| Phone | +1 256-533-1970 |
| Fax | +1 256-532-4112 |
| Address | 4040 MEMORIAL PKWY SW, HUNTSVILLE, AL, 35802 4364, 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 |
|---|
| Name | Role | Address |
|---|---|---|
| BLAIR, JEREMY B | Director | 4040 SOUTH MEMORIAL PARKWAYHUNTSVILLE, AL 35802 |
| Name | Role | Address |
|---|---|---|
| BLAIR, JEREMY B | Agent | 4040 SOUTH MEMORIAL PARKWAYHUNTSVILLE, AL 35802 |
| Name | Role |
|---|---|
| BUTLER, GEORGE S MRS | Incorporator |
| GRANT, BRUCE E MR | Incorporator |
| SPENCER, GUY J MRS | Incorporator |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2017-08-31 | Name Change | Huntsville-Madison County Mental Health Board,Incorporated | WellStone, Inc. |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
