| Name: | Charles Henderson Memorial Association |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Non-Profit Corporation |
| Status: | Exists |
| Date of registration: | 06 Aug 1976 (48 years ago) (Companies founded in August 1976) |
| Entity Number: | 000-753-598 |
| Register Number: | 000753598 |
| Place of Formation: | Pike County |
| Principal Address: | TROY, AL |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ZM5BJ71W5F94 | 2025-01-01 | 1300 HIGHWAY 231 S, TROY, AL, 36081, 3058, USA | 1300 HWY 231 SOUTH SOUTH, PO BOX 928, TROY, AL, 36081, USA | |||||||||||||||||||||||||||||||||||||||||||
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| URL | www.troybabydoc.com |
| Division Name | CHARLES HENDERSON MEMORIAL ASSOCIATION, D.B.A. CHARLES HENDE |
| Congressional District | 02 |
| State/Country of Incorporation | AL, USA |
| Activation Date | 2024-01-04 |
| Initial Registration Date | 2023-03-03 |
| Entity Start Date | 1976-08-06 |
| Fiscal Year End Close Date | Dec 31 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | MELODY LECROY |
| Role | FINANCIAL MANAGER |
| Address | 1300 HWY 231 SOUTH SOUTH, PO BOX 928, TROY, AL, 36081, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | MELODY LECROY |
| Role | FINANCIAL MANAGER |
| Address | 1300 HWY 231 SOUTH SOUTH, PO BOX 928, TROY, AL, 36081, USA |
| Past Performance | Information not Available |
|---|
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1346207131 | 2006-04-27 | 2020-08-22 | PO BOX 928, TROY, AL, 360810928, US | 1300 HIGHWAY 231 S, TROY, AL, 360813058, US | |||||||||||||||||||||
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| Phone | +1 334-566-7600 |
| Fax | 3345661445 |
Authorized person
| Name | JERRI B SMITH |
| Role | FINANCIAL MANAGER |
| Phone | 3345667600 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS OF ALABAMA |
| Number | D493 |
| State | AL |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 49K03 | Active | Non-Manufacturer | 2006-01-18 | 2015-04-15 | No data | No data | |||||||||||||||
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| POC | BEN BUSBEE |
| Phone | +1 334-566-7600 |
| Fax | +1 334-566-1445 |
| Address | 1300 HWY 231 S, TROY, AL, 36081 3058, 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 |
|---|
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHARLES HENDERSON CHILD HEALTH CENTER DEFINED CONTRIBUTION RETIREMENT PLAN | 2009 | 636092641 | 2010-06-10 | CHARLES HENDERSON MEMORIAL ASSOCIATION | 80 | |||||||||||||||||||||||||||||
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| Administrator’s EIN | 636092641 |
| Plan administrator’s name | CHARLES HENDERSON MEMORIAL ASSOCIAT |
| Plan administrator’s address | P.O. BOX 928, TROY, AL, 36081 |
| Administrator’s telephone number | 3345667600 |
Signature of
| Role | Plan administrator |
| Date | 2010-06-10 |
| Name of individual signing | SUSANNE ADAMS |
| Name | Role |
|---|---|
| CHAPMAN, CORLEY JR | Incorporator |
| CLOWER, J G | Incorporator |
| CHAPMAN, CORLEY SR | Incorporator |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
