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Merit Health Care, P.C.

Details

Name: Merit Health Care, P.C.
Jurisdiction: Alabama
Legal type: Domestic Professional Corporation
Status: Exists
Date of registration: 03 Apr 1997 (28 years ago)
Entity Number: 000-186-782
Register Number: 000186782
Historical Names: Ghayas Habash, M.D., M.P.H., P.C.
Merit Health Care, Inc.
County: Talladega
Place of Formation: Talladega County
Principal Address: SYLACAUGA, AL
Registered Office Street Address: 209 WEST SPRING ST STE 301SYLACAUGA, AL 35150
Registered Office Street Address ZIP Code: 35150
Authorized Capital: $200

Activities MEDICAL SERVICES/INVESTMENTS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1326156027 2006-08-25 2016-08-23 PO BOX 2038, SYLACAUGA, AL, 351505038, US 729 BATTLE ST E, TALLADEGA, AL, 351602546, US

Contacts

Phone +1 256-249-0028
Fax 2562490019
Phone +1 256-761-2955
Fax 2567612787

Authorized person

Name DR. GHAYAS ALI HABACH
Role OWNER
Phone 2562490028

Taxonomy

Taxonomy Code 207RN0300X - Nephrology Physician
License Number 17714
State AL
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 529927850
State AL
Issuer BCBS - HABACH - CLINIC
Number 51536048
State AL

Agent

Name Role
HABASH, GHAYAS Agent

Incorporator

Name Role
HABASH, GHAYAS Incorporator

Events

Event Date Event Type Old Value New Value
2005-07-18 Name Change Merit Health Care, Inc. Merit Health Care, P.C.
2003-12-11 Name Change Ghayas Habash, M.D., M.P.H., P.C. Merit Health Care, Inc.

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State