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
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 | |||||||||||||||||||||||||||||||||||
|
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 |
Name | Role |
---|---|
HABASH, GHAYAS | Agent |
Name | Role |
---|---|
HABASH, GHAYAS | Incorporator |
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