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Alabama Healthcare Advantage, Inc

Details

Name: Alabama Healthcare Advantage, Inc
Jurisdiction: Alabama
Legal type: Domestic Non-Profit Corporation
Status: Dissolved
Date of registration: 31 Dec 2012 (12 years ago)
Date of dissolution: 14 Apr 2017
Entity Number: 000-275-035
Register Number: 000275035
County: Montgomery
Place of Formation: Montgomery County
Registered Office Street Address: 2740 ZELDA ROADMONTGOMERY, AL 36106
Registered Office Street Address ZIP Code: 36106

Activities PROVIDE HEALTHCARE INSURANCE TO ALABAMA CITIZENS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1689039307 2015-12-22 2015-12-22 8650 MINNIE BROWN RD STE 224, MONTGOMERY, AL, 361177433, US 8650 MINNIE BROWN RD STE 224, MONTGOMERY, AL, 361177433, US

Contacts

Phone +1 334-215-3985

Authorized person

Name TODD W WHITNEY
Role BOD PRESIDENT
Phone 8133173536

Taxonomy

Taxonomy Code 251K00000X - Public Health or Welfare Agency
Is Primary Yes

Agent

Name Role Address
MOORE, BRIAN W Agent 2740 ZELDA ROADMONTGOMERY, AL 36106

Director

Name Role Address
CAMERIO, MICHAEL Director 8650 MINNIE BROWN RD STE 224MONTGOMERY, AL 36117
REDDEN, JOHN Director 231 WALBASH DRIVEMONTGOMERY, AL 36116
ENSLEY, RICHARD Director 223 DRIFTWOOD LANETALLASSEE, AL 36078
WHITNEY, TODD Director 8650 MINNIE BROWN RD SUITE 224MONTGOMERY, AL 36117
TAYLOR, DOUG Director 7472 SOUTH TUSCON WAY SUITE 100CENTENNIAL, CO 80112
RILEY, JOE Director 1725 PINE STREETMONTGOMERY, AL 36106
DAVIS, NORMA Director 7026 SYDNEY CURVEMONTGOMERY, AL 36117
BENDINGER, RICK Director 113 RIVEREDGE DRIVEHEADLAND, AL 36345
PEEBLES, ERIC Director 1761 WIRE ROAD BLDG 4 UNIT 7AUBURN, AL 36832
BRUCE, MIKE Director 201 MARIARDEN RDDADEVILLE, AL 36853

Incorporator

Name Role Address
WHITNEY, TODD W Incorporator 8650 MINNIE BROWN RD SUITE 224MONTGOMERY, AL 36117
ENSLEY, RICHARD Incorporator 223 DRIFTWOOD LANETALLASSEE, AL 36078
CAMERIO, MICHAEL Incorporator 8650 MINNIE BROWN RD STE 224MONTGOMERY, AL 36117

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State