Cahaba Medical Care, Inc.

Details

Name:	Cahaba Medical Care, Inc.
Jurisdiction:	Alabama
Legal type:	Domestic Corporation
Status:	Dissolved
Date of registration:	12 Apr 2004 (21 years ago) (Companies founded in April 2004)
Date of dissolution:	21 Nov 2016
Entity Number:	000-234-910
Register Number:	000234910
Historical Names:	Cahaba Medical Care, P.C.
ZIP code:	35042 (Companies in Bibb, 35042)
County:	Bibb
Place of Formation:	Bibb County
Principal Address:	195 HOSPITAL DRIVECENTREVILLE, AL 35042
Registered Office Street Address:	405 BELCHER STREETCENTREVILLE, AL 35042
Authorized Capital:	5,000 @ $1.00PV

Activities ANY LAWFUL BUSINESS

Unique Entity ID

Expiration Date

Physical Address

Mailing Address

PB8JEHXP9TS3

2024-10-26

195 HOSPITAL DR, CENTREVILLE, AL, 35042, 2935, USA

CAHABA MEDICAL CARE, 405 BELCHER STREET, CENTREVILLE, AL, 35042, 2946, USA

Business Information

Congressional District	06
State/Country of Incorporation	AL, USA
Activation Date	2023-10-31
Initial Registration Date	2010-10-21
Entity Start Date	2010-10-05
Fiscal Year End Close Date	Dec 31

Points of Contacts

Electronic Business
Title	PRIMARY POC
Name	JOHN B WAITS
Role	DR
Address	405 BELCHER STREET, CENTREVILLE, AL, 35042, 2935, USA

Title	ALTERNATE POC
Name	LACY SMITH
Role	DR
Address	CAHABA MEDICAL CARE, 195 HOSPITAL DRIVE, CENTREVILLE, AL, 35042, 2935, USA

Government Business
Title	PRIMARY POC
Name	JOHN B WAITS
Role	DR
Address	405 BELCHER STREET, CENTREVILLE, AL, 35042, 2935, USA

Title	ALTERNATE POC
Name	LACY SMITH
Role	DR
Address	CAHABA MEDICAL CARE, 195 HOSPITAL DRIVE, CENTREVILLE, AL, 35042, 2935, USA

Past Performance	Information not Available

National Provider Identifier

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1225117047

2006-11-03

2020-08-22

195 HOSPITAL DR, CENTREVILLE, AL, 350422935, US

Contacts

Phone	+1 205-926-2992
Fax	2059262993

Authorized person

Name	MR. JOHN BRYAN WAITS
Role	PRESIDENT
Phone	2059262992

Taxonomy

Taxonomy Code	261QP2300X - Primary Care Clinic/Center
License Number	25230
State	AL
Is Primary	Yes

Agent

Name	Role	Address
WAITS, JOHN B	Agent	195 HOSPITAL DRIVECENTREVILLE, AL 35042

Director

Name	Role	Address
WAITS, JOHN B	Director	195 HOSPITAL DRIVECENTREVILLE, AL 35042

Incorporator

Name	Role	Address
NETTLES, THOMAS A IV	Incorporator	5724 21ST STREETTUSCALOOSA, AL 35401

Events

Event Date	Event Type	Old Value	New Value
2013-11-26	Name Change	Cahaba Medical Care, P.C.	Cahaba Medical Care, Inc.

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State