Name: | Family & Industrial Health Services, Inc. |
Jurisdiction: | Alabama |
Legal type: | Domestic Corporation |
Status: | Exists |
Date of registration: | 23 Sep 2002 (22 years ago) |
Entity Number: | 000-225-232 |
Register Number: | 000225232 |
County: | Montgomery |
Place of Formation: | Montgomery County |
Principal Address: | MONTGOMERY, AL |
Registered Office Street Address: | 1 HARNESS HILL RDMONTGOMERY, AL 36116 |
Registered Office Street Address ZIP Code: | 36116 |
Authorized Capital: | $1,000 |
Activities
MEDICAL SERVICES
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1710923198 | 2006-06-22 | 2020-08-22 | PO BOX 241487, MONTGOMERY, AL, 361241487, US | 4725 MOBILE HWY, MONTGOMERY, AL, 361085126, US | |||||||||||||||||||
|
Phone | +1 334-281-3665 |
Fax | 3342813578 |
Authorized person
Name | NORMAN GARRISON JR. |
Role | OWNER |
Phone | 3342813665 |
Taxonomy
Taxonomy Code | 261QH0100X - Health Service Clinic/Center |
License Number | 13665 |
State | AL |
Is Primary | Yes |
CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
6HTN0 | Active | Non-Manufacturer | 2012-09-27 | 2016-05-06 | No data | No data | |||||||||||||||
|
POC | NORMAN GARRISON |
Phone | +1 334-281-3665 |
Fax | +1 334-281-3578 |
Address | 4725 MOBILE HWY, MONTGOMERY, AL, 36108 5126, UNITED STATES |
Ownership of Offeror Information
Highest Level Owner | Information not Available |
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Immediate Level Owner | Information not Available |
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List of Offerors (0) | Information not Available |
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Name | Role |
---|---|
DOWNING, JAMES R | Agent |
Name | Role |
---|---|
ASHLEY, SHAPARD D | Incorporator |
Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
PO | AWARD | W912JA12P0078 | 2012-09-28 | 2013-08-31 | 2013-08-31 | |||||||||||||||||||||
|
Title | FIREFIGHTER'S ANNUAL PHYSICALS |
NAICS Code | 621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS) |
Product and Service Codes | Q403: MEDICAL- EVALUATION/SCREENING |
Recipient Details
Recipient | FAMILY & INDUSTRIAL HEALTH SERVICES, INC. |
UEI | DTLRK2HK6PB3 |
Legacy DUNS | 146532879 |
Recipient Address | UNITED STATES, 4725 MOBILE HWY, MONTGOMERY, 361085126 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State