| Name: | Whatley Health Services, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Non-Profit Corporation |
| Status: | Exists |
| Date of registration: | 11 Mar 1977 (48 years ago) |
| Entity Number: | 000-811-290 |
| Register Number: | 000811290 |
| Historical Names: |
West Tuscaloosa Community Health Center, Inc.
|
| County: | Tuscaloosa |
| Place of Formation: | Tuscaloosa County |
| Principal Address: | TUSCALOOSA, AL |
| Registered Office Street Address: | 2200 JACK WARNER PKWY STE 200TUSCALOOSA, AL 35401 |
| Registered Office Street Address ZIP Code: | 35401 |
| Registered Office Mailing Address: | PO BOX 2727TUSCALOOSA, AL 35403 |
| Registered Office Mailing Address ZIP Code: | 35403 |
Activities
MEDICAL & HEALTH CARE
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LLKKWKC9GJY7 | 2025-04-22 | 2731 ML KING JR BLVD, TUSCALOOSA, AL, 35401, 5235, USA | POST OFFICE BOX 2400, TUSCALOOSA, AL, 35403, 2400, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Congressional District | 07 |
| State/Country of Incorporation | AL, USA |
| Activation Date | 2024-04-24 |
| Initial Registration Date | 2006-03-09 |
| Entity Start Date | 1978-10-01 |
| Fiscal Year End Close Date | Dec 31 |
Service Classifications
| NAICS Codes | 621498 |
| Product and Service Codes | Z1DB |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | DAVID E GAY |
| Address | 2731 M L KING JR BLVD, TUSCALOOSA, AL, 35401, USA |
| Title | ALTERNATE POC |
| Name | RAJUAN SHERMAN |
| Address | 2731 M L KING JR BLVD, POST OFFICE BOX 2400, TUSCALOOSA, AL, 35401, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | DAVID E GAY |
| Address | 2731 M L KING JR BLVD, TUSCALOOSA, AL, 35401, USA |
| Title | ALTERNATE POC |
| Name | RAJUAN SHERMAN |
| Address | 2731 M L KING JR BLVD, POST OFFICE BOX 2400, TUSCALOOSA, AL, 35401, USA |
| Past Performance | |
|---|---|
| Title | ALTERNATE POC |
| Name | RAJUAN SHERMAN |
| Address | 2731 M L KING JR BLVD, POST OFFICE BOX 2400, TUSCALOOSA, AL, 35403, USA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1295447787 | 2022-12-16 | 2023-01-19 | 2731 MARTIN LUTHER KING BLVD, TUSCALOOSA, AL, 354015235, US | 432 5TH STREET NW, ALICEVILLE, AL, 35442, US | |||||||||||||
|
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| Phone | +1 205-758-6647 |
Authorized person
| Name | DAVID ELLIS GAY |
| Role | CEO |
| Phone | 2053493250 |
Taxonomy
| Taxonomy Code | 261QF0400X - Federally Qualified Health Center (FQHC) |
| Is Primary | Yes |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 4BZ08 | Active | Non-Manufacturer | 2006-03-10 | 2024-05-22 | 2029-05-22 | 2025-04-22 | |||||||||||||||
|
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| POC | DAVID E. GAY |
| Phone | +1 205-758-6647 |
| Fax | +1 205-750-2154 |
| Address | 2731 ML KING JR BLVD, TUSCALOOSA, AL, 35401 5235, 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 | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| SECTION 403(B) RETIREMENT PLAN WHATLEY HEALTH SERVICES, INC. | 2023 | 630727781 | 2024-08-12 | WHATLEY HEALTH SERVICES, INC. | 164 | |||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-08-12 |
| Name of individual signing | DAVID GAY |
| Role | Employer/plan sponsor |
| Date | 2024-08-12 |
| Name of individual signing | DAVID GAY |
| Name | Role | Address |
|---|---|---|
| TOMPKINS, MATTHEW Q | Agent | 2200 JACK WARNER PARKWAY, SUITE 200TUSCALOOSA, AL 35401-2003 |
| Name | Role |
|---|---|
| WHATLEY, MAUDE L | Incorporator |
| MCCOY, HENRY | Incorporator |
| CROWELL, REV L C | Incorporator |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 1994-07-19 | Name Change | West Tuscaloosa Community Health Center, Inc. | Whatley Health Services, Inc. |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
