Alabama Care Plan

Details

Name:	Alabama Care Plan
Jurisdiction:	Alabama
Legal type:	Domestic Non-Profit Corporation
Status:	Dissolved
Date of registration:	18 Sep 2014 (10 years ago) (Companies founded in September 2014)
Date of dissolution:	28 Sep 2020
Entity Number:	000-318-462
Register Number:	000318462
ZIP code:	35203 (Companies in Jefferson, 35203)
County:	Jefferson
Place of Formation:	Jefferson County
Registered Office Street Address:	417 20TH STREET NORTH SUITE 1100BIRMINGHAM, AL 35203

Activities REGIONAL CARE ORG TO COORDINATE THE HEALTH CARE OF MEDICAID PATI

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1396137402

2015-02-26

417 20TH ST N, SUITE 1100, BIRMINGHAM, AL, 352033203, US

Contacts

Phone	+1 205-558-7641
Fax	2054497626

Authorized person

Taxonomy

Taxonomy Code	302F00000X - Exclusive Provider Organization
License Number	MEDICAID RCO
State	AL
Is Primary	Yes

Name	Role	Address
FERNIANY, WILLIAM	Director	500 22ND STREET SOUTH, SUITE 408BIRMINGHAM, AL 35233
ANDREWS, WILLIAM W	Director	619 19TH STREET S 176F 10360BIRMINGHAM, AL 35249
RUE, LORING W	Director	1922 7TH AVE S KB120BIRMINGHAM, AL 35294
LILLY, DON	Director	500 22ND ST SBIRMINGHAM, AL 35233
BULGARELLA, S DAWN	Director	7413 ASHLAND LANEVESTAVIA HILLS, AL 35242
CURRY, BILL	Director	FOT 720 1720 2ND AVE SBIRMINGHAM, AL 35294
ROLLOW, BRAD	Director	417 20TH STREET NORTH SUITE 1100BIRMINGHAM, AL 35203
FEAGIN, CARDWELL	Director	417 20TH STREET NORTH SUITE 1100BIRMINGHAM, AL 35203
VELASCO, ANNA	Director	417 20TH STREET NORTH SUITE 1100BIRMINGHAM, AL 35203
JOHNSON, JUAN	Director	832 PRINCETON AVE SWBIRMINGHAM, AL 35211
SMITH, GEORGE C "BUDDY"	Director	49 JACKSON SPRINGS RDLINEVILLE, AL 36266
SMITH, DEBORAH L	Director	No data
JOHNSON, JACOB	Director	1864 Waterfall RdAuburn, AL 36830
HIVELY, GREG	Director	No data
RECORD, ROBERT	Director	5720 1ST AVE SBIRMINGHAM, AL 35212
CARLSON, GREG	Director	207 BEAVER CREEK PARKWAYPELHAM, AL 35124
MASSEY, BRIAN	Director	2800 UNIVERSITY BLVDBIRMINGHAM, AL 35233
ALEXANDER, JASON	Director	810 ST VINCENT'S DRIVEBIRMINGHAM, AL 35205
PRIEST, NAN M	Director	810 ST VINCENT'S DRIVEBIRMINGHAM, AL 35205
BEAN, NELSON	Director	1222 14TH AVENUE SOUTHBIRMINGHAM, AL 35205

Name	Role	Address
EARNHARDT, CAMERON T	Incorporator	701 20TH STREET SUITE 820BIRMINGHAM, AL 35233

Name	Role	Address
ROLLOW, BRAD	Agent	417 20TH STREET NORTH SUITE 1100BIRMINGHAM, AL 35203

Date of last update: 03 Aug 2024