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UAB Callahan Eye Hospital Authority

Details

Name: UAB Callahan Eye Hospital Authority
Jurisdiction: Alabama
Legal type: Domestic Public Corporation
Status: Exists
Date of registration: 04 Oct 2017 (7 years ago) (Companies founded in October 2017)
Entity Number: 000-404-488
Register Number: 000404488
ZIP code: 35233 (Companies in Jefferson, 35233)
County: Jefferson
Place of Formation: Alabama
Registered Office Street Address: 701 20TH STREET SOUTH SUITE 820BIRMINGHAM, AL 35233

Activities CHARITABLE/SCIENTIFIC/LITERARY/EDUCATIONAL PURPOSES

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
ZJNDSU98XM18 2025-03-13 1720 UNIVERSITY BLVD, BIRMINGHAM, AL, 35233, 1816, USA 1720 UNIVERSITY BLVD, BIRMINGHAM, AL, 35233, 1816, USA

Business Information

URL www.uabmedicine.org
Congressional District 07
State/Country of Incorporation AL, USA
Activation Date 2024-03-15
Initial Registration Date 2012-12-13
Entity Start Date 1966-11-21
Fiscal Year End Close Date Sep 30

Points of Contacts

Electronic Business
Title PRIMARY POC
Name SHELBY SMITH
Role ASSNT. CFO
Address 1720 UNIVERSITY BOULEVARD, BIRMINGHAM, AL, 35233, USA
Title ALTERNATE POC
Name SHELBY SMITH
Role ASSNT. CEO
Address 1720 UNIVERSITY BOULEVARD, BIRMINGHAM, AL, 35233, USA
Government Business
Title PRIMARY POC
Name SHELBY SMITH
Role ASSNT. CFO
Address 1720 UNIVERSITY BOULEVARD, BIRMINGHAM, AL, 35233, USA
Title ALTERNATE POC
Name SHELBY SMITH
Role ASSNT. CEO
Address 1720 UNIVERSITY BOULEVARD, BIRMINGHAM, AL, 35233, USA
Past Performance
Title PRIMARY POC
Name JASON SADLER
Role CFO
Address 1720 UNIVERSITY BOULEVARD, BIRMINGHAM, AL, 35233, USA
Title ALTERNATE POC
Name SHELBY SMITH
Role ASSNT. CEO
Address 1720 UNIVERSITY BOULEVARD, BIRMINGHAM, AL, 35233, USA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1023358850 2013-02-14 2017-11-16 PO BOX 660685, BIRMINGHAM, AL, 352660685, US 1720 UNIVERSITY BLVD, BIRMINGHAM, AL, 352331816, US

Contacts

Phone +1 205-979-5882
Fax 2059791248
Phone +1 205-325-8100
Fax 2053258809

Authorized person

Name JASON O SADLER
Role CFO
Phone 2053258100

Taxonomy

Taxonomy Code 367500000X - Certified Registered Nurse Anesthetist
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 145975
State AL

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
6UPV3 Obsolete Non-Manufacturer 2013-02-19 2024-03-15 No data 2025-03-13

Contact Information

POC SHELBY SMITH
Phone +1 205-325-8629
Fax +1 205-325-8594
Address 1720 UNIVERSITY BLVD, BIRMINGHAM, AL, 35233 1816, UNITED STATES

Ownership of Offeror Information

Highest Level Owner Information not Available
Immediate Level Owner Information not Available
List of Offerors (0) Information not Available

Agent

Name Role Address
DANIEL, W J Agent 1720 2ND AVENUE SOUTH AB 820BIRMINGHAM, AL 35204-0108

Date of last update: 13 Aug 2024

Sources: Alabama Secretary of State