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Medevac Alabama Inc.

Details

Name: Medevac Alabama Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 27 Mar 2020 (5 years ago) (Companies founded in March 2020)
Entity Number: 000-626-798
Register Number: 000626798
ZIP code: 36602 (Companies in Mobile, 36602)
County: Mobile
Place of Formation: Alabama
Principal Mailing Address: PO Box 190044Anchorage, AK 99519
Principal Address: 61 Joseph St Suite 1401Mobile, AL 36602
Registered Office Street Address: 61 St. Joseph St., Suite 1401Mobile, AL 36602
Authorized Capital: 10000

Activities to engage in emergency response services and related services
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Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
EUEQZA6JJAQ7 2024-12-17 61 SAINT JOSEPH ST STE 1401, MOBILE, AL, 36602, 3530, USA PO BOX 1268, MOBILE, AL, 36633, USA

Business Information

URL https://www.medevacalabama.com
Congressional District 01
State/Country of Incorporation AL, USA
Activation Date 2023-12-20
Initial Registration Date 2022-10-06
Entity Start Date 2020-03-27
Fiscal Year End Close Date Dec 31

Service Classifications

NAICS Codes 621910

Points of Contacts

Electronic Business
Title PRIMARY POC
Name KIMBERLY HUGHES
Role BILLING COORDINATOR
Address 61 SAINT JOSEPH ST STE 1401, MOBILE, AL, 36602, USA
Government Business
Title PRIMARY POC
Name KIMBERLY HUGHES
Role BILLING COORDINATOR
Address 61 SAINT JOSEPH ST STE 1401, MOBILE, AL, 36602, USA
Past Performance Information not Available

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1851917504 2020-06-18 2021-11-18 PO BOX 1268, MOBILE, AL, 366331268, US 3738 N COLLEGE AVE, JACKSON, AL, 365452225, US

Contacts

Phone +1 251-348-7684
Fax 8777602418

Authorized person

Name KENNETH HUGHES
Role OWNER
Phone 2513487683

Taxonomy

Taxonomy Code 341600000X - Ambulance
Is Primary Yes

Other Provider Identifiers

Issuer ALABAMA BOARD OF HEALTH OFFICE OF EMERGENCY MEDICAL SERVICES
Number 1169
State AL
Issuer MEDICAID
Number 259084
State AL

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
MEDEVAC ALABAMA, INC. 401(K) PLAN 2023 850580697 2024-10-14 MEDEVAC ALABAMA, INC. 17
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621900
Sponsor’s telephone number 2513487644
Plan sponsor’s address 61 SAINT JOSEPH ST., STE 1401, MOBILE, AL, 36602

Signature of

Role Plan administrator
Date 2024-10-14
Name of individual signing KENNETH HUGHES
Valid signature Filed with authorized/valid electronic signature
MEDEVAC ALABAMA, INC. 401(K) PLAN 2022 850580697 2023-10-16 MEDEVAC ALABAMA, INC. 11
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2022-01-01
Business code 621900
Sponsor’s telephone number 2513487644
Plan sponsor’s address 61 SAINT JOSEPH ST., STE 1401, MOBILE, AL, 36602

Signature of

Role Plan administrator
Date 2023-10-16
Name of individual signing KENNETH HUGHES

Agent

Name Role
Hughes, Kenneth C Agent

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State