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Medical West Hospital Authority, An Affiliate of UAB Health System

Details

Name: Medical West Hospital Authority, An Affiliate of UAB Health System
Jurisdiction: Alabama
Legal type: Domestic Public Corporation
Status: Exists
Date of registration: 22 Dec 2005 (19 years ago) (Companies founded in December 2005)
Entity Number: 000-818-547
Register Number: 000818547
Historical Names: The Health Care Authority for Medical West, An Affiliate of the UAB Health System
ZIP code: 35401 (Companies in Tuscaloosa, 35401)
County: Tuscaloosa
Place of Formation: Tuscaloosa County
Registered Office Street Address: 701 20TH STREET SOUTH SUITE 820BIRMINGHAM, AL 35233
Principal Address: 401 QUEEN CITY AVETUSCALOOSA, AL 35401

Activities ACQUIRE/OWN/OPERATE ONE OR MORE HOSPITALS/HEALTH CARE DELIVERY SYSTEM

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
H7KSH6HT6HK3 2024-12-17 995 9TH AVE SW, BESSEMER, AL, 35022, 4527, USA 995 9TH AVENUE SW, BESSEMER, AL, 35022, 0001, USA

Business Information
URL http://www.medicalwesthospital.org
Division Name MEDICAL WEST HOSPITAL AUTHORITY, AN AFFILIATE OF UAB HS
Congressional District 07
State/Country of Incorporation AL, USA
Activation Date 2023-12-20
Initial Registration Date 2008-10-16
Entity Start Date 1964-09-17
Fiscal Year End Close Date Sep 30

Service Classifications
NAICS Codes 622110

Points of Contacts
Electronic Business
Title PRIMARY POC
Name KEITH PENNINGTON
Address 995 9TH AVENUE SW, BESSEMER, AL, 35022, USA
Title ALTERNATE POC
Name BRANDON SLOCUM
Role SR VP / CFO
Address 995 9TH AVENUE SW, BESSEMER, AL, 35022, USA
Government Business
Title PRIMARY POC
Name KEITH PENNINGTON
Address 995 9TH AVENUE SW, BESSEMER, AL, 35022, USA
Title ALTERNATE POC
Name BRANDON SLOCUM
Role SR VP/CFO
Address 995 9TH AVENUE SW, BESSEMER, AL, 35022, USA
Past Performance
Title PRIMARY POC
Name BRANDON SLOCUM
Role SR VP/CFO
Address 995 9TH AVENUE SW, BESSEMER, AL, 35022, USA
Title ALTERNATE POC
Name BRANDON SLOCUM
Role SR VP / CFO
Address 995 9TH AVENUE SW, BESSEMER, AL, 35022, USA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1952483729 2006-10-20 2017-10-18 995 9TH AVE SW, BESSEMER, AL, 350224527, US 995 9TH AVE SW, BESSEMER, AL, 350224527, US

Contacts
Phone +1 205-481-7121
Fax 2054817397

Authorized person
Name KEITH PENNINGTON
Role CEO
Phone 2054817102

Taxonomy
Taxonomy Code 261QM1300X - Multi-Specialty Clinic/Center
License Number 12816
State AL
Is Primary Yes

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
571J5 Active Non-Manufacturer 2008-09-16 2023-12-20 2028-12-20 2024-12-17

Contact Information
POC KEITH PENNINGTON
Phone +1 205-481-7010
Address 995 9TH AVE SW, BESSEMER, AL, 35022 4527, 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

Incorporator

Name Role Address
RANDALL, DAVID Incorporator 404 RUSTIC WOODSCOLUMBIANA, AL 35051
KAUFFMAN, KATHLEEN Incorporator No data
CHANDLER, JANE Incorporator No data

Agent

Name Role
DANIEL, W. JOHN Agent

Events

Event Date Event Type Old Value New Value
2017-09-17 Name Change The Health Care Authority for Medical West, An Affiliate of the UAB Health System Medical West Hospital Authority, An Affiliate of UAB Health System

Awards

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
DO AWARD VA521C15066 2011-09-13 2011-09-30 2014-09-30
Unique Award Key CONT_AWD_VA521C15066_3600_VA247P1204_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title RADIOLOGY SERVICES - MOD 0004 INCREASE C15066 BY $13,000.00 PER COTR REQUEST TO ACCOUNT FOR NEW ESTIMATE/ACTUAL SERVICES.
NAICS Code 621512: DIAGNOSTIC IMAGING CENTERS
Product and Service Codes Q522: RADIOLOGY SERVICES

Recipient Details
Recipient MEDICAL WEST HOSPITAL AUTHORITY, AN AFFILIATE OF UAB HEALTH SYSTEM
UEI H7KSH6HT6HK3
Legacy DUNS 077651511
Recipient Address UNITED STATES, HIGHWAY 11 SOUTH, BESSEMER, 350210001
No data IDV N6194211A0003 2011-01-26 No data No data
Unique Award Key CONT_IDV_N6194211A0003_9700
Awarding Agency Department of Defense
Link View Page

Description
Title MEALS FOR SELRES.
NAICS Code 722110: FULL-SERVICE RESTAURANTS
Product and Service Codes S203: FOOD SERVICES

Recipient Details
Recipient MEDICAL WEST HOSPITAL AUTHORITY, AN AFFILIATE OF UAB HEALTH SYSTEM
UEI H7KSH6HT6HK3
Legacy DUNS 077651511
Recipient Address UNITED STATES, HIGHWAY 11 SOUTH, BESSEMER, 350210001
PO AWARD VA521C05358 2010-03-08 2011-03-09 2011-03-09
Unique Award Key CONT_AWD_VA521C05358_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title LEASE RENEWAL 2ND YEAR OF 5 YEAR BASE LEASE
NAICS Code 531120: LESSORS OF NONRESIDENTIAL BUILDINGS (EXCEPT MINIWAREHOUSES)
Product and Service Codes X142: LEASE-RENT OF LABS & CLINICS

Recipient Details
Recipient MEDICAL WEST HOSPITAL AUTHORITY, AN AFFILIATE OF UAB HEALTH SYSTEM
UEI H7KSH6HT6HK3
Legacy DUNS 077651511
Recipient Address UNITED STATES, HIGHWAY 11 SOUTH, BESSEMER, 350210001
DO AWARD VA521C05300 2010-01-15 2010-09-30 2014-09-30
Unique Award Key CONT_AWD_VA521C05300_3600_VA247P1204_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title RADIOLOGY SERVICES - MOD 0004 INCREASE C15066 BY $13,000.00 PER COTR REQUEST TO ACCOUNT FOR NEW ESTIMATE/ACTUAL SERVICES.
NAICS Code 621512: DIAGNOSTIC IMAGING CENTERS
Product and Service Codes Q522: RADIOLOGY SERVICES

Recipient Details
Recipient MEDICAL WEST HOSPITAL AUTHORITY, AN AFFILIATE OF UAB HEALTH SYSTEM
UEI H7KSH6HT6HK3
Legacy DUNS 077651511
Recipient Address UNITED STATES, HIGHWAY 11 SOUTH, BESSEMER, 350210001
No data IDV VA247P1204 2010-01-15 No data No data
Unique Award Key CONT_IDV_VA247P1204_3600
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title RADIOLOGY SERVICES
NAICS Code 621512: DIAGNOSTIC IMAGING CENTERS
Product and Service Codes Q522: RADIOLOGY SERVICES

Recipient Details
Recipient MEDICAL WEST HOSPITAL AUTHORITY, AN AFFILIATE OF UAB HEALTH SYSTEM
UEI H7KSH6HT6HK3
Legacy DUNS 077651511
Recipient Address UNITED STATES, HIGHWAY 11 SOUTH, BESSEMER, 350210001
PO AWARD VA521C95159 2009-03-09 2010-03-08 2014-03-08
Unique Award Key CONT_AWD_VA521C95159_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title LEASE OF REAL PROPERTY
NAICS Code 531120: LESSORS OF NONRESIDENTIAL BUILDINGS (EXCEPT MINIWAREHOUSES)
Product and Service Codes X142: LEASE-RENT OF LABS & CLINICS

Recipient Details
Recipient MEDICAL WEST HOSPITAL AUTHORITY, AN AFFILIATE OF UAB HEALTH SYSTEM
UEI H7KSH6HT6HK3
Legacy DUNS 077651511
Recipient Address UNITED STATES, HIGHWAY 11 SOUTH, BESSEMER, 350210000
DCA AWARD VA247R0758 2008-12-02 2009-12-31 2018-12-31
Unique Award Key CONT_AWD_VA247R0758_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title SLA TO START LEASE AS OF 3-9-09
NAICS Code 531120: LESSORS OF NONRESIDENTIAL BUILDINGS (EXCEPT MINIWAREHOUSES)
Product and Service Codes X142: LEASE-RENT OF LABS & CLINICS

Recipient Details
Recipient MEDICAL WEST HOSPITAL AUTHORITY, AN AFFILIATE OF UAB HEALTH SYSTEM
UEI H7KSH6HT6HK3
Legacy DUNS 077651511
Recipient Address UNITED STATES, HIGHWAY 11 SOUTH, BESSEMER, 350210000
PO AWARD VA521C95158 2008-12-02 2009-02-02 2009-02-02
Unique Award Key CONT_AWD_VA521C95158_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title BUILD OUT OF LEASED SPACE
NAICS Code 236220: COMMERCIAL AND INSTITUTIONAL BUILDING CONSTRUCTION
Product and Service Codes Z142: MAINT-REP-ALT/LABS & CLINICS

Recipient Details
Recipient MEDICAL WEST HOSPITAL AUTHORITY, AN AFFILIATE OF UAB HEALTH SYSTEM
UEI H7KSH6HT6HK3
Legacy DUNS 077651511
Recipient Address UNITED STATES, HIGHWAY 11 SOUTH, BESSEMER, 350210000

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Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State

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