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 | |||||||||||||||||||||
|
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