| Name: | The Jackson County Health Care Authority |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Non-Profit Corporation |
| Status: | Exists |
| Date of registration: | 17 Mar 1951 (74 years ago) |
| Entity Number: | 000-751-333 |
| Register Number: | 000751333 |
| Historical Names: |
Jackson County Hospital Board
|
| Place of Formation: | Alabama |
| Principal Address: | ---, AL |
Activities
SEE HOSPITAL BOARD FILE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1871757443 | 2008-07-14 | 2008-07-14 | 380 WOODS COVE RD, SCOTTSBORO, AL, 357682428, US | 380 WOODS COVE RD, SCOTTSBORO, AL, 357682428, US | |||||||||||||||||||||
|
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| Phone | +1 256-259-4444 |
Authorized person
| Name | MR. GERALD L TURNER |
| Role | DIRECTOR OF BUSINESS SERVICES |
| Phone | 2562183813 |
Taxonomy
| Taxonomy Code | 3416L0300X - Land Ambulance |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 200036104 |
| State | AL |
| Name | Role |
|---|---|
| PROCTOR, JAMES M | Incorporator |
| LYNCH, M H MD | Incorporator |
| SNODGRASS, J M | Incorporator |
| HALL, SAMUEL P MD | Incorporator |
| HODGES, RAYFORD | Incorporator |
| COLLINS, A C MD | Incorporator |
| HODGES, E JULIAN MD | Incorporator |
| TAMMELL, E L MD | Incorporator |
| TALLY, JOHN B | Incorporator |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 1990-10-31 | Name Change | Jackson County Hospital Board | The Jackson County Health Care Authority |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
