Name: | HH Health System - Athens Limestone, LLC |
Jurisdiction: | Alabama |
Legal type: | Domestic Non-Profit Ltd. Liability Company |
Status: | Exists |
Date of registration: | 04 Nov 2015 (9 years ago) |
Entity Number: | 000-348-484 |
Register Number: | 000348484 |
County: | Madison |
Place of Formation: | Madison County |
Registered Office Street Address: | 101 SIVLEY ROADHUNTSVILLE, AL 35801 |
Registered Office Street Address ZIP Code: | 35801 |
Activities
PROVIDE HEALTH CARE SERVICES IN LIMESTONE COUNTY
Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
NRS6GJLSQLF7 | 2025-03-13 | 700 W MARKET ST, ATHENS, AL, 35611, 2457, USA | 700 W MARKET ST, ATHENS, AL, 35611, 2457, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||
|
Doing Business As | ATHENS LIMESTONE HOSPITAL |
Congressional District | 05 |
Activation Date | 2024-03-15 |
Initial Registration Date | 2007-08-24 |
Entity Start Date | 2015-11-10 |
Fiscal Year End Close Date | Sep 30 |
Points of Contacts
Electronic Business | |
---|---|
Title | PRIMARY POC |
Name | CAROLINE CANESTRARI |
Address | P.O. BOX 999, 700 WEST MARKET STREET, ATHENS, AL, 35612, 0999, USA |
Title | ALTERNATE POC |
Name | AMANDA CLARDY |
Address | P.O. BOX 999, 700 WEST MARKET STREET, ATHENS, AL, 35612, 0999, USA |
Government Business | |
---|---|
Title | PRIMARY POC |
Name | RANDY COMER |
Address | P.O. BOX 999, 700 WEST MARKET STREET, ATHENS, AL, 35612, 0999, USA |
Title | ALTERNATE POC |
Name | LAURA GARRIE |
Address | P.O. BOX 999, 700 WEST MARKET STREET, ATHENS, AL, 35612, 0999, USA |
Past Performance | Information not Available |
---|
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1144695081 | 2015-12-03 | 2015-12-03 | PO BOX 999, ATHENS, AL, 356120999, US | 700 W MARKET ST, ATHENS, AL, 356112457, US | |||||||||||||||||||||||||||||||||||||
|
Phone | +1 256-233-9292 |
Fax | 2562339272 |
Authorized person
Name | MR. JAMES R COMER |
Role | CHIEF FINANICAL OFFICER |
Phone | 2562339172 |
Taxonomy
Taxonomy Code | 282N00000X - General Acute Care Hospital |
License Number | H4201 |
State | AL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | BCBS |
Number | 010108 |
State | AL |
Issuer | UNITED HEALTHCARE |
Number | 5000036 |
State | AL |
Issuer | MEDICAID |
Number | HOS0079H |
State | AL |
Name | Role | Address |
---|---|---|
SPILLERS, DAVID S | Agent | 101 SIVLEY ROADHUNTSVILLE, AL 35801 |
Name | Role |
---|---|
HEALTH CARE AUTHORITY OF THE CITY | Member |
Name | Role | Address |
---|---|---|
BENTLEY, PHILIP W JR | Organizer | 101 SIVLEY ROADHUNTSVILLE, AL 35801 |
GOODMAN, MIKE | Organizer | 101 SIVLEY ROADHUNTSVILLE, AL 35801 |
ARORA, AMIT | Organizer | 101 SIVLEY ROADHUNTSVILLE, AL 35801 |
CAPRIO, FRANK | Organizer | 101 SIVLEY ROADHUNTSVILLE, AL 35801 |
KAKANI, BHAVANI | Organizer | 1306 CHANDLER RD SEHUNTSVILLE, AL 35801 |
FEHRENBACH, KERRY | Organizer | 101 SIVLEY ROADHUNTSVILLE, AL 35801 |
SMITH, DAVID | Organizer | 900-37TH PLACE NORTHBIRMINGHAM, AL 35222 |
PHILLIPS, MACON | Organizer | 101 SIVLEY ROADHUNTSVILLE, AL 35801 |
RICHARDSON, BETH | Organizer | 101 SIVLEY ROADHUNTSVILLE, AL 35801 |
SPILLERS, DAVID S | Organizer | 101 SIVLEY ROADHUNTSVILLE, AL 35801 |
Date of last update: 03 Aug 2024
Sources: Alabama Secretary of State