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The East Alabama Health Care Authority

Details

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

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

Business Information

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
Title PRIMARY POC
Name MARCILLA GROSS
Address 2000 PEPPERELL PARKWAY, OPELIKA, AL, 36801, USA
Government Business
Title PRIMARY POC
Name ROBEN CASEY
Address 2000 PEPPERELL PARKWAY, OPELIKA, AL, 36801, USA
Past Performance Information not Available

National Provider Identifier

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

Contacts

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

Commercial and government entity program

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

Contact Information

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
Immediate Level Owner Information not Available
List of Offerors (0) Information not Available

Director

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

Incorporator

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

Agent

Name Role
GRILL, LAURA D Agent

Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State