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Alabama Regional Medical Services

Details

Name: Alabama Regional Medical Services
Jurisdiction: Alabama
Legal type: Domestic Non-Profit Corporation
Status: Exists
Date of registration: 22 Mar 1985 (40 years ago)
Entity Number: 000-716-078
Register Number: 000716078
Historical Names: Birmingham Health Care for the Homeless Coalition
Birmingham Health Care, Inc.
County: Jefferson
Place of Formation: Jefferson County
Registered Office Street Address: 712 25TH STREET, NORTHBIRMINGHAM, AL 35203
Registered Office Street Address ZIP Code: 35203

Activities RELIGIOUS
CHARITABLE
EDUCATIONAL PURPOSES

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
TG7AJHGWKWQ7 2024-10-23 712 25TH ST N, BIRMINGHAM, AL, 35203, 2400, USA PO BOX 11256, BIRMINGHAM, AL, 35202, 1526, USA

Business Information
Congressional District 07
State/Country of Incorporation AL, USA
Activation Date 2023-10-26
Initial Registration Date 2006-01-17
Entity Start Date 1985-03-19
Fiscal Year End Close Date Dec 31

Points of Contacts
Electronic Business
Title PRIMARY POC
Name THOMAS GREER
Role CEO
Address 712 25TH ST N, BIRMINGHAM, AL, 35203, 1601, USA
Title ALTERNATE POC
Name THERESA FOSTER
Address 712 25TH ST N, BIRMINGHAM, AL, 35203, 1601, USA
Government Business
Title PRIMARY POC
Name THOMAS GREER
Role CEO
Address 712 25TH STN, BIRMINGHAM, AL, 35203, USA
Title ALTERNATE POC
Name THERESA FOSTER
Address 712 25TH ST N, BIRMINGHAM, AL, 35203, 1601, USA
Past Performance Information not Available

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1528821139 2024-02-05 2024-02-05 PO BOX 11526, BIRMINGHAM, AL, 352021526, US 3200 27TH ST N STE A, BIRMINGHAM, AL, 352074554, US

Contacts
Phone +1 205-903-9375
Fax 2053288786
Phone +1 305-322-8288

Authorized person
Name THOMAS GREER
Role CEO
Phone 2059268134

Taxonomy
Taxonomy Code 261QF0400X - Federally Qualified Health Center (FQHC)
Is Primary Yes

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
49KP2 Obsolete Non-Manufacturer 2006-01-18 2024-09-09 No data 2025-09-05

Contact Information
POC THOMAS GREER
Phone +1 205-407-6951
Fax +1 205-201-5284
Address 712 25TH ST N, BIRMINGHAM, AL, 35203 2400, 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

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
ALABAMA REGIONAL MEDICAL SERVICES 2021 630932057 2022-07-28 ALABAMA REGIONAL MEDICAL SERVICES 92
File View Page
Three-digit plan number (PN) 503
Effective date of plan 2021-01-01
Business code 621111
Plan sponsor’s mailing address PO BOX 11526, BIRMINGHAM, AL, 352021526
Plan sponsor’s address 712 25TH STREET NORTH, BIRMINGHAM, AL, 35203

Number of participants as of the end of the plan year
Active participants 96

Signature of
Role Plan administrator
Date 2022-07-28
Name of individual signing TIFFANY HAWKINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-07-28
Name of individual signing TIFFANY HAWKINS
Valid signature Filed with authorized/valid electronic signature
BLUE CROSS BLUE SHIELD OF ALABAMA 2021 630932057 2022-05-31 ALABAMA REGIONAL MEDICAL SERVICES 239
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2021-01-01
Business code 621111
Plan sponsor’s mailing address PO BOX 11526, BIRMINGHAM, AL, 352021526
Plan sponsor’s address 712 25TH STREET NORTH, BIRMINGHAM, AL, 35203

Number of participants as of the end of the plan year
Active participants 216

Signature of
Role Plan administrator
Date 2022-05-31
Name of individual signing TIFFANY HAWKINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-05-31
Name of individual signing TIFFANY HAWKINS
Valid signature Filed with authorized/valid electronic signature
BLUE CROSS BLUE SHIELD OF ALABAMA 2020 630932057 2021-10-13 ALABAMA REGIONAL MEDICAL SERVICES 257
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2020-01-01
Business code 621111
Plan sponsor’s mailing address PO BOX 11526, BIRMINGHAM, AL, 352021526
Plan sponsor’s address 712 25TH STREET NORTH, BIRMINGHAM, AL, 35203

Number of participants as of the end of the plan year
Active participants 239

Signature of
Role Plan administrator
Date 2021-10-13
Name of individual signing TIFFANY HAWKINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-13
Name of individual signing TIFFANY HAWKINS
Valid signature Filed with authorized/valid electronic signature
ALABAMA REGIONAL MEDICAL SERVICES 2020 630932057 2021-10-13 ALABAMA REGIONAL MEDICAL SERVICES 102
File View Page
Three-digit plan number (PN) 503
Effective date of plan 2020-01-01
Business code 621111
Plan sponsor’s mailing address PO BOX 11526, BIRMINGHAM, AL, 352021526
Plan sponsor’s address 712 25TH STREET NORTH, BIRMINGHAM, AL, 35202

Number of participants as of the end of the plan year
Active participants 92

Signature of
Role Plan administrator
Date 2021-10-13
Name of individual signing TIFFANY HAWKINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-13
Name of individual signing TIFFANY HAWKINS
Valid signature Filed with authorized/valid electronic signature
ALABAMA REGIONAL MEDICAL SERVICES 2019 630932057 2020-07-24 ALABAMA REGIONAL MEDICAL SERVICES 87
File View Page
Three-digit plan number (PN) 503
Effective date of plan 2019-01-01
Business code 621111
Plan sponsor’s mailing address PO BOX 11526, BIRMINGHAM, AL, 352021526
Plan sponsor’s address PO BOX 11526, BIRMINGHAM, AL, 352021526

Number of participants as of the end of the plan year
Active participants 102

Signature of
Role Plan administrator
Date 2020-07-24
Name of individual signing TIFFANY HAWKINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-24
Name of individual signing TIFFANY HAWKINS
Valid signature Filed with authorized/valid electronic signature
BLUE CROSS BLUE SHIELD OF ALABAMA 2019 630932057 2020-07-20 ALABAMA REGIONAL MEDICAL SERVICES 257
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2019-01-01
Business code 621111
Plan sponsor’s mailing address PO BOX 11526, BIRMINGHAM, AL, 352021526
Plan sponsor’s address 712 25TH STREET NORTH, BIRMINGHAM, AL, 35203

Number of participants as of the end of the plan year
Active participants 257

Signature of
Role Plan administrator
Date 2020-07-20
Name of individual signing TIFFANY HAWKINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-20
Name of individual signing TIFFANY HAWKINS
Valid signature Filed with authorized/valid electronic signature
ALABAMA REGIONAL MEDICAL SERVICES 403B RETIREMENT SAVINGS PLAN 2019 630932057 2020-07-31 ALABAMA REGIONAL MEDICAL SERVICES 112
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 621111
Sponsor’s telephone number 2054076914
Plan sponsor’s address METRO HEALTH CENTER - ANNEX, 712 25TH STREET NORTH, BIRMINGHAM, AL, 35203

Signature of
Role Plan administrator
Date 2020-07-31
Name of individual signing TIFFANY HAWKINS
ALABAMA REGIONAL MEDICAL SERVICES 403B RETIREMENT SAVINGS PLAN 2019 630932057 2020-07-20 ALABAMA REGIONAL MEDICAL SERVICES 112
Three-digit plan number (PN) 001
Effective date of plan 1985-01-01
Business code 621111
Sponsor’s telephone number 2054076914
Plan sponsor’s address METRO HEALTH CENTER - ANNEX, 712 25TH STREET NORTH, BIRMINGHAM, AL, 35203

Signature of
Role Plan administrator
Date 2020-07-20
Name of individual signing TIFFANY HAWKINS
ALABAMA REGIONAL MEDICAL SERVICES 2018 630932057 2019-10-11 ALABAMA REGIONAL MEDICAL SERVICES 87
File View Page
Three-digit plan number (PN) 503
Effective date of plan 2018-01-01
Business code 621111
Plan sponsor’s mailing address PO BOX 11526, BIRMINGHAM, AL, 352021526
Plan sponsor’s address 2817 30TH AVE N, BIRMINGHAM, AL, 35207

Number of participants as of the end of the plan year
Active participants 87

Signature of
Role Plan administrator
Date 2019-10-11
Name of individual signing TIFFANY HAWKINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-11
Name of individual signing TIFFANY HAWKINS
Valid signature Filed with authorized/valid electronic signature
BLUE CROSS AND BLUE SHIELD OF ALABAMA 2018 630932057 2019-10-11 ALABAMA REGIONAL MEDICAL SERVICES 241
File View Page
Three-digit plan number (PN) 502
Effective date of plan 2018-01-01
Business code 621111
Plan sponsor’s mailing address PO BOX 11526, BIRMINGHAM, AL, 352021526
Plan sponsor’s address 2817 30TH AVENUE NORTH, BIRMINGHAM, AL, 35207

Number of participants as of the end of the plan year
Active participants 241

Signature of
Role Plan administrator
Date 2019-10-11
Name of individual signing TIFFANY HAWKINS
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-10-11
Name of individual signing TIFFANY HAWKINS
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
GARDNER, ANTHONY Agent 308 LINDSEY CTOPELIKA, AL 36801

Incorporator

Name Role
MICHAEL, MAX DR Incorporator
ROHLING, ALBERT H Incorporator
MOORE, CHARLES DR Incorporator

Events

Event Date Event Type Old Value New Value
2015-10-20 Name Change Birmingham Health Care, Inc. Alabama Regional Medical Services
2003-01-09 Name Change Birmingham Health Care for the Homeless Coalition Birmingham Health Care, Inc.

Related by officers

GARDNER, ANTHONY

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ROHLING, ALBERT H

Community Health Services, Inc. Birmingham Housing Development Corporation

Related by address

No related companies by address

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State

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