| Name: | The Cullman Area Mental Health Authority |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Non-Profit Corporation |
| Status: | Exists |
| Date of registration: | 01 Sep 1989 (35 years ago) (Companies founded in September 1989) |
| Entity Number: | 000-070-287 |
| Register Number: | 000070287 |
| Place of Formation: | Cullman County |
| Principal Address: | CULLMAN, AL |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1700989589 | 2006-09-06 | 2013-08-13 | PO BOX 2186, CULLMAN, AL, 350562186, US | 1909 COMMERCE AVE, CULLMAN, AL, 350556151, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 256-734-4688 |
| Fax | 2567365638 |
Authorized person
| Name | CHRIS VANDYKE |
| Role | EXECUTIVE DIRECTOR |
| Phone | 2567344688 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | PPO CONTRACT |
| Number | 08814 |
| State | AL |
| Issuer | ALL KIDS |
| Number | 51008814 |
| State | AL |
| Issuer | MEDICAID |
| Number | 590000025 |
| State | AL |
| Issuer | MEDICAID |
| Number | 529923460 |
| State | AL |
| Issuer | BLUE CROSS BLUE SHIELD PEEHIP |
| Number | 051008814 |
| State | AL |
| Issuer | MEDICAID |
| Number | 590034025 |
| State | AL |
| Issuer | BLUE CROSS BLUE SHIELD SEIB |
| Number | 051008814 |
| State | AL |
| Issuer | MEDICAID |
| Number | 330000025 |
| State | AL |
| Issuer | MEDICAID |
| Number | 330034025 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| REID, HERMAN | Incorporator | No data |
| HANCOCK, TOM | Incorporator | 245 FARMSTEAD ROADHUNTSVILLE, AL 35806 |
| PERKINS, HATTIE LOU | Incorporator | No data |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
