| Name: | ALABAMA COMMUNITY CARE - REGION C, INC. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Non-Profit Corporation |
| Status: | Dissolved |
| Date of registration: | 30 Sep 2014 (10 years ago) (Companies founded in September 2014) |
| Date of dissolution: | 29 Jun 2020 |
| Entity Number: | 000-319-300 |
| Register Number: | 000319300 |
| ZIP code: | 35401 (Companies in Tuscaloosa, 35401) |
| County: | Tuscaloosa |
| Place of Formation: | Tuscaloosa County |
| Registered Office Street Address: | 809 UNIVERSITY BOULEVARD EASTTUSCALOOSA, AL 35401 |
Activities
REGIONAL CARE ORGANIZATION TO CONTRACT WITH THE ALABAMA MEDICAID
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992197024 | 2015-02-26 | 2015-02-26 | 809 UNIVERSITY BLVD E, TUSCALOOSA, AL, 354012029, US | 809 UNIVERSITY BLVD E, TUSCALOOSA, AL, 354012029, US | |||||||||||||
|
|||||||||||||||||
| Phone | +1 205-759-7760 |
Authorized person
| Name | MR. DEAN ALAN GRIFFIN |
| Role | BOARD SECRETARY |
| Phone | 2562658823 |
Taxonomy
| Taxonomy Code | 302R00000X - Health Maintenance Organization |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KINDRED, BRYAN | Director | 809 UNIVERSITY BOULEVARD EASTTUSCALOOSA, AL 35401 |
| DUSANG, NINA | Director | 809 UNIVERSITY BOULEVARD EASTTUSCALOOSA, AL 35401 |
| STANDEFFER, LUKE | Director | 809 UNIVERSITY BOULEVARD EASTTUSCALOOSA, AL 35401 |
| PHILLIPS, J RANDALL | Director | 2209 9TH STREETTUSCALOOSA, AL 35401 |
| RICHARDSON, NATHANIEL JR | Director | 1201 7TH ST SEDECATUR, AL 35601 |
| JONES, CHRIS | Director | 4204 SCHOOL STREETADAMSVILLE, AL 35005 |
| SPILLERS, DAVID S | Director | 101 SIVLEY ROADHUNTSVILLE, AL 35801 |
| GRIFFIN, DEAN | Director | 101 SIVLEY ROADHUNTSVILLE, AL 35801 |
| POWERS, KELLI | Director | 101 SIVLEY ROADHUNTSVILLE, AL 35801 |
| DUDLEY, MICHAEL M | Director | 4417 CORPORATION LANEVIRGINIA BEACH, VA 23462 |
| Name | Role | Address |
|---|---|---|
| KINDRED, BRYAN | Incorporator | 809 UNIVERSITY BOULEVARD EASTTUSCALOOSA, AL 35401 |
| Name | Role | Address |
|---|---|---|
| KINDRED, BRYAN | Agent | 809 UNIVERSITY BOULEVARD EASTTUSCALOOSA, AL 35401 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2016-04-28 | Name Merged | No data | Mednet West, Inc. |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State
