Name: | The Crenshaw County Health Care Authority |
Jurisdiction: | Alabama |
Legal type: | Domestic Non-Profit Corporation |
Status: | Exists |
Date of registration: | 26 Sep 1961 (63 years ago) (Companies founded in September 1961) |
Entity Number: | 000-817-582 |
Register Number: | 000817582 |
Historical Names: |
Crenshaw County Hospital Board
|
ZIP code: | 36049 (Companies in Crenshaw, 36049) |
County: | Crenshaw |
Place of Formation: | Crenshaw County |
Principal Address: | LUVERNE, AL |
Registered Office Mailing Address: | PO BOX 369LUVERNE, AL 36049 |
Registered Office Street Address: | 84 EAST 4TH STREETLUVERNE, AL 36049 |
Activities
OWN/OPERATE PUBLIC HOSPITALS/OTHER PUBLIC HEALTH FACILITIES
Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
JTA5EJ48WQK1 | 2025-01-17 | 101 HOSPITAL DR, LUVERNE, AL, 36049, 7344, USA | 101 HOSPITAL DR, LUVERNE, AL, 36049, 7344, USA | |||||||||||||||||||||||||||||||||||||||||
|
Congressional District | 02 |
State/Country of Incorporation | AL, USA |
Activation Date | 2024-01-22 |
Initial Registration Date | 2022-11-30 |
Entity Start Date | 1961-09-26 |
Fiscal Year End Close Date | Sep 30 |
Service Classifications
NAICS Codes | 622110, 622210 |
Points of Contacts
Electronic Business | |
---|---|
Title | PRIMARY POC |
Name | AMY BESS |
Role | CFO |
Address | 101 HOSPITAL DRIVE, LUVERNE, AL, 36049, USA |
Government Business | |
---|---|
Title | PRIMARY POC |
Name | AMY BESS |
Role | CFO |
Address | 101 HOSPITAL DRIVE, LUVERNE, AL, 36049, USA |
Past Performance | Information not Available |
---|
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1154515591 | 2007-08-29 | 2020-07-20 | 101 HOSPITAL CIR, LUVERNE, AL, 360497329, US | 101 HOSPITAL CIR, LUVERNE, AL, 360497329, US | |||||||||||||||||||
|
Phone | +1 334-335-3374 |
Fax | 3343351217 |
Authorized person
Name | MICHAEL ANDREW KIMBRO |
Role | CHAIRMAN |
Phone | 3343353374 |
Taxonomy
Taxonomy Code | 273R00000X - Psychiatric Hospital Unit |
License Number | 11790 |
State | AL |
Is Primary | Yes |
Name | Role |
---|---|
J LEVI NICHOLS LIGHTFOOT & NICHOLS | Agent |
Name | Role |
---|---|
KENDRICK, JAMES E | Incorporator |
WINDHAM, TRAVIS | Incorporator |
HARBIN, IRA T | Incorporator |
Event Date | Event Type | Old Value | New Value |
---|---|---|---|
2003-04-30 | Name Change | Crenshaw County Hospital Board | The Crenshaw County Health Care Authority |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State