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The Crenshaw County Health Care Authority

Details

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

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

Business Information

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

National Provider Identifier

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

Contacts

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

Agent

Name Role
J LEVI NICHOLS LIGHTFOOT & NICHOLS Agent

Incorporator

Name Role
KENDRICK, JAMES E Incorporator
WINDHAM, TRAVIS Incorporator
HARBIN, IRA T Incorporator

Events

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