Name: | The East Alabama Health Care Authority |
Jurisdiction: | Alabama |
Legal type: | Domestic Non-Profit Corporation |
Status: | Exists |
Date of registration: | 01 Oct 1982 (42 years ago) |
Entity Number: | 000-738-395 |
Register Number: | 000738395 |
County: | Lee |
Place of Formation: | Lee County |
Registered Office Street Address: | 2000 PEPPERELL PARKWAYOPELIKA, AL 36801 |
Registered Office Street Address ZIP Code: | 36801 |
Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
W3UNJ6EMBUF9 | 2024-10-24 | 4800 48TH ST, VALLEY, AL, 36854, 3666, USA | P.O. BOX 348, VALLEY, AL, 36854, USA | |||||||||||||||||||||||||||||||||||||||
|
Doing Business As | EAMC-LANIER |
URL | www.eastalabamahealth.org |
Division Name | EAMC-LANIER |
Congressional District | 03 |
Activation Date | 2023-10-27 |
Initial Registration Date | 2022-01-24 |
Entity Start Date | 1982-10-01 |
Fiscal Year End Close Date | Sep 30 |
Points of Contacts
Electronic Business | |
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Title | PRIMARY POC |
Name | MARCILLA GROSS |
Address | 2000 PEPPERELL PARKWAY, OPELIKA, AL, 36801, USA |
Government Business | |
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Title | PRIMARY POC |
Name | ROBEN CASEY |
Address | 2000 PEPPERELL PARKWAY, OPELIKA, AL, 36801, USA |
Past Performance | Information not Available |
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NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1780251058 | 2021-06-07 | 2023-10-05 | P.O. BOX 348, VALLEY, AL, 36854, US | 4800 48TH ST, VALLEY, AL, 368543666, US | |||||||||||||||||
|
Phone | +1 334-756-9180 |
Authorized person
Name | MR. SAMUEL A PRICE JR. |
Role | CFO |
Phone | 3345281310 |
Taxonomy
Taxonomy Code | 2084P0805X - Geriatric Psychiatry Physician |
Is Primary | No |
Taxonomy Code | 273R00000X - Psychiatric Hospital Unit |
Is Primary | Yes |
CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
5PCP3 | Active | Non-Manufacturer | 2009-09-10 | 2024-02-08 | 2029-02-08 | 2025-02-05 | |||||||||||||||
|
POC | ROBEN CASEY |
Phone | +1 334-528-1815 |
Fax | +1 334-528-1509 |
Address | 2000 PEPPERELL PKWY, OPELIKA, AL, 36801 5452, UNITED STATES |
Ownership of Offeror Information
Highest Level Owner | Information not Available |
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Immediate Level Owner | Information not Available |
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List of Offerors (0) | Information not Available |
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Name | Role | Address |
---|---|---|
CANNON, LUCINDA S | Director | No data |
GARRETT, WILLIAM L JR | Director | No data |
ALDERMAN, C WAYNE | Director | 1842 CREEKWOOD TRAILAUBURN, AL |
FILLMER, JAMES LARRY | Director | No data |
SMALLEY, DAVID B | Director | No data |
PITTARD, JOEL C | Director | 441 PINEDALE DRAUBURN, AL 36830 |
JAMES, W COOPER | Director | No data |
NUNN, CHRIS | Director | No data |
DUMAS, ROBERT W | Director | No data |
Name | Role |
---|---|
HARRIS, CHAS L | Incorporator |
HILLYER, NELSON | Incorporator |
LOVELL, JO | Incorporator |
SPENCER, EL JR | Incorporator |
LAZENBY, WM D MD | Incorporator |
VARNER, KM JR | Incorporator |
BOTSFORD, THOMAS M | Incorporator |
HIMMELWRIGHT, JAMES P MD | Incorporator |
MATHEWS, JAMES W MD | Incorporator |
Name | Role |
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GRILL, LAURA D | Agent |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State