| Name: | South Central Alabama Mental Health Board, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Non-Profit Corporation |
| Status: | Exists |
| Date of registration: | 01 Nov 1968 (56 years ago) |
| Entity Number: | 000-070-241 |
| Register Number: | 000070241 |
| County: | Covington |
| Place of Formation: | Covington County |
| Registered Office Street Address: | 820 SOUTH THREE NOTCH STREET SUITE BANDALUSIA, AL 36420 |
| Registered Office Street Address ZIP Code: | 36420 |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| L5XFJ15RC223 | 2024-12-27 | 205 ACADEMY DR, ANDALUSIA, AL, 36420, 4154, USA | 205 ACADEMY DR, ANDALUSIA, AL, 36420, 4154, USA | |||||||||||||||||||||||||||||||||||||||||||||
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| URL | www.scamhc.org |
| Division Name | SOUTH CENTRAL ALABAMA MENTAL HEALTH |
| Congressional District | 02 |
| State/Country of Incorporation | AL, USA |
| Activation Date | 2024-01-01 |
| Initial Registration Date | 2012-09-05 |
| Entity Start Date | 1968-10-01 |
| Fiscal Year End Close Date | Sep 30 |
Service Classifications
| NAICS Codes | 621420, 623220 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | ERIC KING |
| Role | DATA MGMNT SUPERVISOR |
| Address | 820-B SOUTH THREE NOTCH STREET, ANDALUSIA, AL, 36420, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | TOMMY WRIGHT |
| Role | EXECUTIVE DIRECTOR |
| Address | 820-B SOUTH THREE NOTCH STREET, ANDALUSIA, AL, 36420, USA |
| Past Performance | Information not Available |
|---|
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881826022 | 2009-08-21 | 2009-08-21 | PO BOX 1028, ANDALUSIA, AL, 364201220, US | 19815 BAY BRANCH RD, ANDALUSIA, AL, 364209234, US | |||||||||||||||||
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| Phone | +1 334-222-2525 |
Authorized person
| Name | MRS. SHARON R. BROWN |
| Role | CLINICAL DIRECTOR |
| Phone | 3342222525 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | 0855 |
| State | AL |
| Is Primary | Yes |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 6DSB3 | Active | Non-Manufacturer | 2012-09-12 | 2024-01-01 | 2029-01-01 | 2024-12-27 | |||||||||||||||
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| POC | TOMMY WRIGHT |
| Phone | +1 334-222-2525 |
| Fax | +1 334-222-4660 |
| Address | 205 ACADEMY DR, ANDALUSIA, AL, 36420 4154, 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 |
|---|---|
| WILLIAM THOMAS WRIGHT | Agent |
| Name | Role |
|---|---|
| GOVERNING BODIES OF COUNTIES OF BUTLER COFFEE COVINGTON AND CRENSHAW COUNTIES | Incorporator |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
