| Name: | Mental Health Board of Chilton and Shelby Counties, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Non-Profit Corporation |
| Status: | Exists |
| Date of registration: | 10 Jan 1973 (52 years ago) (Companies founded in January 1973) |
| Entity Number: | 000-070-242 |
| Register Number: | 000070242 |
| Place of Formation: | Chilton County |
| Principal Address: | CLANTON, AL |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Q6WHBKT1J1F3 | 2024-11-21 | 151 HAMILTON LN, CALERA, AL, 35040, 8700, USA | P.O. BOX 689, CALERA, AL, 35040, 0689, USA | |||||||||||||||||||||||||||||||||||||||
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| Doing Business As | CENTRAL ALABAMA WELLNESS |
| URL | www.centralalabamawellness.org |
| Congressional District | 06 |
| State/Country of Incorporation | AL, USA |
| Activation Date | 2023-11-27 |
| Initial Registration Date | 2013-06-10 |
| Entity Start Date | 1973-01-10 |
| Fiscal Year End Close Date | Sep 30 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | BRANDY BYRD |
| Address | PO BOX 689, CALERA, AL, 35040, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | BRANDY BYRD |
| Address | PO BOX 689, CALERA, AL, 35040, USA |
| Past Performance | Information not Available |
|---|
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487829966 | 2008-04-25 | 2008-04-25 | PO BOX 689, CALERA, AL, 350400689, US | 110 MEDICAL CENTER DR, CLANTON, AL, 350452332, US | |||||||||||||||||||||
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| Phone | +1 205-755-8800 |
| Fax | 2057558882 |
Authorized person
| Name | MS. MELODIE D CRAWFORD |
| Role | CHIEF EXECUTIVE OFFICER |
| Phone | 2056684308 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS/BLUE SHIELD ALL KIDS PLUS |
| Number | 515-11686 |
| State | AL |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 6ZPW0 | Obsolete | Non-Manufacturer | 2013-10-04 | 2023-11-27 | No data | 2024-11-21 | |||||||||||||||
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| POC | BRANDY BYRD |
| Phone | +1 205-651-0077 |
| Fax | +1 205-668-4957 |
| Address | 151 HAMILTON LN, CALERA, AL, 35040 8700, 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 |
|---|---|
| WOODS, CARRIE MAE | Incorporator |
| MILLER, ELIZABETH M | Incorporator |
| VICKERY, KATHERINE DR | Incorporator |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
