| Name: | Gadsden Regional Medical Center, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Exists |
| Date of registration: | 01 Jan 2007 (18 years ago) (Companies founded in January 2007) |
| Entity Number: | 000-612-068 |
| Register Number: | 000612068 |
| ZIP code: | 36104 (Companies in Montgomery, 36104) |
| County: | Montgomery |
| Place of Formation: | Delaware |
| Principal Address: | 5800 TENNYSON PKWYPLANO, TX 75024 |
| Registered Office Street Address: | 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104 |
Activities
HEALTHCARE
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| XM3EWLUNAV41 | 2022-12-24 | 1007 GOODYEAR AVE, GADSDEN, AL, 35903, 1195, USA | 1007 GOODYEAR AVE, GADSDEN, AL, 35903, 1195, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Doing Business As | QHG |
| Congressional District | 04 |
| State/Country of Incorporation | AL, USA |
| Activation Date | 2021-11-29 |
| Initial Registration Date | 2008-09-24 |
| Entity Start Date | 2007-01-01 |
| Fiscal Year End Close Date | Dec 31 |
Service Classifications
| NAICS Codes | 622110 |
| Product and Service Codes | M1DA |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | JESSICA LOYD |
| Address | 1007 GOODYEAR AVENUE, GADSDEN, AL, 35903, USA |
| Title | ALTERNATE POC |
| Name | JAMIE THOMPSON |
| Address | 4000 MERIDIAN BLVD, FRANKLIN, TN, 37067, 6325, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | LAURIE HOLTSFORD |
| Address | 4000 MERIDIAN BLVD, FRANKLIN, TN, 37067, 6325, USA |
| Title | ALTERNATE POC |
| Name | LAURIE HOLTSFORD |
| Address | 4000 MERIDIAN BLVD, FRANKLIN, TN, 37067, 6325, USA |
| Past Performance | |
|---|---|
| Title | PRIMARY POC |
| Name | MATTHEW WOOD |
| Address | 1007 GOODYEAR AVE, GADSDEN, AL, 35903, 1195, USA |
| Title | ALTERNATE POC |
| Name | LAURIE HOLTSFORD |
| Address | 4000 MERIDIAN BLVD, FRANKLIN, TN, 37067, 6325, USA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1649721853 | 2016-10-24 | 2016-10-24 | 1007 GOODYEAR AVE, GADSDEN, AL, 359031195, US | 1007 GOODYEAR AVE, GADSDEN, AL, 359031195, US | |||||||||||||||||
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| Phone | +1 256-494-4052 |
Authorized person
| Name | DR. DAVID JOHN MARTIN |
| Role | CLINICAL DIRECTOR/ASSIST PHCY DIR. |
| Phone | 2564944052 |
Taxonomy
| Taxonomy Code | 282NC0060X - Critical Access Hospital |
| License Number | 14309 |
| State | AL |
| Is Primary | Yes |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 57G09 | Active | Non-Manufacturer | 2008-09-25 | 2022-12-24 | 2026-11-29 | 2022-12-24 | |||||||||||||||||||||||
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| POC | LAURIE HOLTSFORD |
| Phone | +1 615-465-7466 |
| Fax | +1 615-465-2872 |
| Address | 1007 GOODYEAR AVE, GADSDEN, AL, 35903 1195, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | Information not Available |
|---|
| Immediate Level Owner | |
|---|---|
| Vendor Certified | 2021-11-29 |
| CAGE number | 4M1Q8 |
| Company Name | COMMUNITY HEALTH SYSTEMS, INC. |
| CAGE Last Updated | 2024-02-19 |
| List of Offerors (0) | Information not Available |
|---|
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY INC | Agent | 251 LITTLE FALLS DRIVEWILMINGTON, DE 19808 |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PO | AWARD | DJBSERLV2020004 | 2012-01-18 | 2012-01-18 | 2012-01-18 | |||||||||||||||||||||
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| Title | NON-BOP MEDICAL |
| NAICS Code | 622110: GENERAL MEDICAL AND SURGICAL HOSPITALS |
| Product and Service Codes | Q999: MEDICAL- OTHER |
Recipient Details
| Recipient | GADSDEN REGIONAL MEDICAL CENTER LLC |
| UEI | XM3EWLUNAV41 |
| Legacy DUNS | 153593074 |
| Recipient Address | UNITED STATES, 1007 GOODYEAR AVE, GADSDEN, 359031195 |
| Unique Award Key | CONT_AWD_VA247P1000_3600_-NONE-_-NONE- |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Description
| Title | INPATIENT MENTAL HEALTH |
| NAICS Code | 621330: OFFICES OF MENTAL HEALTH PRACTITIONERS (EXCEPT PHYSICIANS) |
| Product and Service Codes | Q999: OTHER MEDICAL SERVICES |
Recipient Details
| Recipient | GADSDEN REGIONAL MEDICAL CENTER LLC |
| UEI | XM3EWLUNAV41 |
| Legacy DUNS | 153593074 |
| Recipient Address | UNITED STATES, 1007 GOODYEAR AVE, GADSDEN, 359031195 |
| Unique Award Key | CONT_AWD_DJBTDGHB210060_1540_-NONE-_-NONE- |
| Awarding Agency | Department of Justice |
| Link | View Page |
Description
| Title | MEDICAL SERVICE FOR FCI INMATE AUG 2008 |
| NAICS Code | 622110: GENERAL MEDICAL AND SURGICAL HOSPITALS |
| Product and Service Codes | Q201: GENERAL HEALTH CARE SERVICES |
Recipient Details
| Recipient | GADSDEN REGIONAL MEDICAL CENTER LLC |
| UEI | XM3EWLUNAV41 |
| Legacy DUNS | 153593074 |
| Recipient Address | UNITED STATES, 1007 GOODYEAR AVE, GADSDEN, 359031195 |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
