| Name: | East Alabama Health Services, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 29 Oct 2008 (16 years ago) |
| Entity Number: | 000-426-642 |
| Register Number: | 000426642 |
| County: | Lee |
| Place of Formation: | Lee County |
| Registered Office Street Address: | 2000 PEPPERELL PKWYOPELIKA, AL 36801 |
| Registered Office Street Address ZIP Code: | 36801 |
Activities
HEALTH SERVICES
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SBLYM5ZKULB1 | 2024-09-27 | 122 N 20TH ST, BUILDING 26, OPELIKA, AL, 36801, 5442, USA | 122 N 20TH ST BLDG 26, OPELIKA, AL, 36801, 5442, USA | |||||||||||||||||||||||||||||||||||||||||||||||||
|
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| Doing Business As | UNITY WELLNESS CENTER |
| URL | http://www.eamc.org |
| Division Name | UNITY WELLNESS CENTER |
| Division Number | 800 |
| Congressional District | 03 |
| Activation Date | 2023-09-28 |
| Initial Registration Date | 2010-07-09 |
| Entity Start Date | 2008-10-29 |
| Fiscal Year End Close Date | Sep 30 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | MARCILLA GROSS |
| Address | 2000 PEPPERELL PARKWAY, OPELIKA, AL, 36801, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | ROBEN CASEY |
| Address | 2000 PEPPERELL PARKWAY, OPELIKA, AL, 36801, 5422, USA |
| Title | ALTERNATE POC |
| Name | MARCILLA GROSS |
| Address | 2000 PEPPERELL PARKWAY, OPELIKA, AL, 36801, 5422, USA |
| Past Performance | Information not Available |
|---|
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1972729598 | 2007-04-18 | 2018-02-08 | 122 N 20TH ST BLDG 26, OPELIKA, AL, 368015442, US | 122 N 20TH ST BLDG 26, OPELIKA, AL, 368015442, US | |||||||||||||||||||||
|
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| Phone | +1 334-749-3593 |
| Fax | 3347493594 |
Authorized person
| Name | SAMUEL A PRICE |
| Role | CFO |
| Phone | 3345281310 |
Taxonomy
| Taxonomy Code | 251B00000X - Case Management Agency |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 62JF0 | Active | Non-Manufacturer | 2010-07-19 | 2024-08-30 | 2029-08-30 | 2025-08-28 | |||||||||||||||
|
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| POC | ROBEN CASEY |
| Phone | +1 334-528-1815 |
| Fax | +1 334-528-2161 |
| Address | 122 N 20TH ST, OPELIKA, AL, 36801 5442, 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 |
|---|
| Name | Role |
|---|---|
| THE EAST ALABAMA HEALTHCARE | Member |
| Name | Role |
|---|---|
| THE EAST ALABAMA HEALTHCARE | Agent |
Date of last update: 13 Aug 2024
Sources: Alabama Secretary of State
