| Name: | Central Alabama Comprehensive Health, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Non-Profit Corporation |
| Status: | Exists |
| Date of registration: | 16 Nov 1979 (45 years ago) (Companies founded in November 1979) |
| Entity Number: | 000-724-019 |
| Register Number: | 000724019 |
| Place of Formation: | Macon County |
| Principal Address: | TUSKEGEE, AL |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750607339 | 2010-04-08 | 2010-04-29 | 203 W LEE ST, TUSKEGEE, AL, 360831719, US | 203 W LEE ST, TUSKEGEE, AL, 360831719, US | |||||||||||||||||||||||
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| Phone | +1 334-727-7636 |
| Fax | 3347277657 |
Authorized person
| Name | ALAN YOE |
| Role | CEO |
| Phone | 3347277050 |
Taxonomy
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 113352 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NCPDP PROVIDER IDENTIFICATION NUMBER |
| Number | 0136487 |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 3MGJ0 | Active | Non-Manufacturer | 2003-11-25 | 2014-11-24 | No data | No data | |||||||||||||||
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| POC | ALAN YOE |
| Phone | +1 334-727-7050 |
| Fax | +1 334-727-6284 |
| Address | 203 W LEE ST, TUSKEGEE, AL, 36083 1719, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | Information not Available |
|---|
| Immediate Level Owner | Information not Available |
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| List of Offerors (0) | Information not Available |
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| Name | Role | Address |
|---|---|---|
| OLDHAM, WALTER J | Incorporator | No data |
| GRIGG, JAMES F JR | Incorporator | No data |
| CITIBANC OF ALABAMA | Incorporator | No data |
| TORRENCE, ANDREW P | Incorporator | No data |
| GREEN, LUCIEN A | Incorporator | No data |
| FORD, JOHNNY | Incorporator | 410 PRESTWOOD CIRCLETUSKEGEE, AL 36083 |
| FOSTER, LUTHER H | Incorporator | No data |
| PARKER, J ALLAN | Incorporator | No data |
| PINKARD, OTIS | Incorporator | No data |
| LOGAN, HAROLD K | Incorporator | No data |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
