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Alabama Maternity, Inc.

Details

Name: Alabama Maternity, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Dissolved
Date of registration: 15 Feb 1999 (26 years ago)
Date of dissolution: 07 Apr 2020
Entity Number: 000-200-903
Register Number: 000200903
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 2204 LAKESHORE DR STE 230HOMEWOOD, AL 35209
Registered Office Street Address ZIP Code: 35209
Authorized Capital: $14

Activities OPERATE A MATERNITY HEALTH PLAN

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1730294257 2006-08-21 2015-01-08 417 20TH ST N, SUITE 1100, BIRMINGHAM, AL, 352033203, US 417 20TH ST N, SUITE 1100, BIRMINGHAM, AL, 352033203, US

Contacts

Phone +1 205-558-7587

Authorized person

Name MR. PAUL GRAHAM
Role PRESIDENT, ALABAMA MATERNITY, INC.
Phone 2055587587

Taxonomy

Taxonomy Code 251B00000X - Case Management Agency
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 580200005
State AL

Agent

Name Role Address
MICHAEL, MAX III Agent 4336 10TH AVENUE SOUTHBIRMINGHAM, AL 35222

Incorporator

Name Role
MICHAEL MAX III Incorporator

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State