Name: | The Health Care Authority of Athens and Limestone County |
Jurisdiction: | Alabama |
Legal type: | Domestic Non-Profit Corporation |
Status: | Exists |
Date of registration: | 17 Feb 1948 (77 years ago) |
Entity Number: | 000-717-470 |
Register Number: | 000717470 |
Historical Names: |
Athens-Limestone Hospital Association
|
Place of Formation: | Limestone County |
Principal Address: | -----, AL |
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1982662557 | 2006-05-03 | 2011-03-15 | PO BOX 999, ATHENS, AL, 356120999, US | 700 W MARKET ST, ATHENS, AL, 356112457, US | |||||||||||||||||||||||||||||||||
|
Phone | +1 256-233-9292 |
Fax | 2562339272 |
Authorized person
Name | MR. JAMES R COMER |
Role | CHIEF FINANCIAL OFFICER |
Phone | 2562339172 |
Taxonomy
Taxonomy Code | 282N00000X - General Acute Care Hospital |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | HOS0079H |
State | AL |
Issuer | UNITED HEALTHCARE |
Number | 5000036 |
State | AL |
Issuer | BCBS |
Number | 010108 |
State | AL |
Event Date | Event Type | Old Value | New Value |
---|---|---|---|
1984-10-01 | Name Change | Athens-Limestone Hospital Association | The Health Care Authority of Athens and Limestone County |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State