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Alabama Select Network, LLC

Details

Name: Alabama Select Network, LLC
Jurisdiction: Alabama
Legal type: Domestic Limited Liability Company
Status: Exists
Date of registration: 21 Jul 2017 (7 years ago) (Companies founded in July 2017)
Entity Number: 000-396-888
Register Number: 000396888
ZIP code: 35233 (Companies in Jefferson, 35233)
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 3008 SEVENTH AVENUE SOUTHBIRMINGHAM, AL 35233

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
E3H8CE2EVT37 2024-06-07 3008 7TH AVE S, BIRMINGHAM, AL, 35233, 3503, USA 3008 7TH AVE S, BIRMINGHAM, AL, 35233, 3503, USA

Business Information

Congressional District 06
State/Country of Incorporation AL, USA
Activation Date 2023-06-12
Initial Registration Date 2023-06-08
Entity Start Date 2017-08-21
Fiscal Year End Close Date Dec 31

Points of Contacts

Electronic Business
Title PRIMARY POC
Name JOHN G CATON
Role CONTROLLER
Address 3008 7TH AVE SOUTH, BIRMINGHAM, AL, 35233, USA
Government Business
Title PRIMARY POC
Name JOHN G CATON
Role CONTROLLER
Address 3008 7TH AVE SOUTH, BIRMINGHAM, AL, 35233, USA
Past Performance Information not Available

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1801306626 2017-10-06 2017-10-06 3008 7TH AVE S, BIRMINGHAM, AL, 352333503, US 3008 7TH AVE S, BIRMINGHAM, AL, 352333503, US

Contacts

Phone +1 205-320-7575

Authorized person

Name RONALD CHAFFIN
Role CHIEF EXECUTIVE OFFICER
Phone 2053207575

Taxonomy

Taxonomy Code 302R00000X - Health Maintenance Organization
Is Primary Yes

Agent

Name Role
CHAFFIN, RONALD M Agent

Organizer

Name Role Address
BROCKMAN, RICHARD J Organizer 420 N. 20TH STREET, SUITE 3400BIRMINGHAM, AL 35203

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State