| Name: | Christ Health Center, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Non-Profit Corporation |
| Status: | Exists |
| Date of registration: | 18 Nov 2004 (20 years ago) (Companies founded in November 2004) |
| Entity Number: | 000-560-942 |
| Register Number: | 000560942 |
| ZIP code: | 35209 (Companies in Jefferson, 35209) |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | BIRMINGHAM, AL |
| Registered Office Street Address: | 500 BEACON PKWY WBIRMINGHAM, AL 35209 |
Activities
PROVIDE MEDICAL SERVICES
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| NKC5NH31GMZ5 | 2025-04-30 | 5720 1ST AVE S, BIRMINGHAM, AL, 35212, 2522, USA | CHRIST HEALTH CENTER, 5720 1ST AVENUE SOUTH, BIRMINGHAM, AL, 35212, 2522, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| URL | www.christhealthcenter.org |
| Congressional District | 07 |
| State/Country of Incorporation | AL, USA |
| Activation Date | 2024-05-02 |
| Initial Registration Date | 2010-09-10 |
| Entity Start Date | 2004-11-18 |
| Fiscal Year End Close Date | Dec 31 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | ROBERT RECORD |
| Role | CHIEF EXECUTIVE OFFICER |
| Address | CHRIST HEALTH CENTER, 5720 1ST AVENUE SOUTH, BIRMINGHAM, AL, 35212, 2522, USA |
| Title | ALTERNATE POC |
| Name | ROBERT RECORD |
| Address | CHRIST HEALTH CENTER, 5720 1ST AVENUE SOUTH, BIRMINGHAM, AL, 35212, 2522, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | ROBERT RECORD |
| Role | CHIEF EXECUTIVE OFFICER |
| Address | CHRIST HEALTH CENTER, BIRMINGHAM, AL, 35212, 2522, USA |
| Title | ALTERNATE POC |
| Name | ROBERT RECORD |
| Address | CHRIST HEALTH CENTER, 5720 1ST AVENUE SOUTH, BIRMINGHAM, AL, 35212, 2522, USA |
| Past Performance | |
|---|---|
| Title | PRIMARY POC |
| Name | CORY HARRIS |
| Role | CHIEF OPERATING OFFICER |
| Address | 5720 FIRST AVENUE SOUTH, BIRMINGHAM, AL, 35212, USA |
| Title | ALTERNATE POC |
| Name | DEBORAH PICKENS |
| Role | ADMINISTRATIVE SERVICES DIRECTOR |
| Address | 5720 FIRST AVENUE SOUTH, BIRMINGHAM, AL, 35212, USA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1285366302 | 2022-06-28 | 2022-07-11 | 5720 1ST AVE S, BIRMINGHAM, AL, 352122522, US | 5720 1ST AVE S, BIRMINGHAM, AL, 352122522, US | |||||||||||||||||||
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| Phone | +1 205-380-9455 |
Authorized person
| Name | DR. ROBERT REX RECORD |
| Role | CEO |
| Phone | 2053809455 |
Taxonomy
| Taxonomy Code | 207Q00000X - Family Medicine Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 162580 |
| State | AL |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 64MR2 | Obsolete | Non-Manufacturer | 2010-09-10 | 2024-05-02 | No data | 2025-04-30 | |||||||||||||||
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| POC | ROBERT RECORD |
| Phone | +1 205-380-9455 |
| Fax | +1 205-380-9459 |
| Address | 5720 1ST AVE S, BIRMINGHAM, AL, 35212 2522, 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 | Address |
|---|---|---|
| BELL, JOHN | Agent | 1114 PARK VIEWHOOVER, AL 35244 |
| Name | Role |
|---|---|
| LEATH, ALEX B III | Incorporator |
Date of last update: 14 Aug 2024
Sources: Alabama Secretary of State
