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Central North Alabama Health Services, Inc.

Details

Name: Central North Alabama Health Services, Inc.
Jurisdiction: Alabama
Legal type: Domestic Non-Profit Corporation
Status: Exists
Date of registration: 22 Jul 1982 (42 years ago) (Companies founded in July 1982)
Entity Number: 000-819-238
Register Number: 000819238
ZIP code: 35804 (Companies in Madison, 35804)
County: Madison
Place of Formation: Madison County
Principal Mailing Address: PO BOX 18488HUNTSVILLE, AL 35804
Registered Office Street Address: 110 WALKER AVENUEHUNTSVILLE, AL 35804

Activities HEALTH CARE SERVICES
EDUCATION
SCIENTIFIC
CHARITABLE

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
MJNDMB6L95N7 2024-08-13 110 WALKER AVE NE, HUNTSVILLE, AL, 35801, 4739, USA P O BOX 18488, HUNTSVILLE, AL, 35804, 8488, USA

Business Information
URL https://www.cnahsi.com
Congressional District 05
State/Country of Incorporation AL, USA
Activation Date 2023-08-15
Initial Registration Date 2004-07-21
Entity Start Date 1982-07-22
Fiscal Year End Close Date Dec 31

Points of Contacts
Electronic Business
Title PRIMARY POC
Name RODERICK EWING
Address 110 WALKER AVENUE, HUNTSVILLE, AL, 35801, 4739, USA
Title ALTERNATE POC
Name RODERICK EWING
Address 110 WALKER AVENUE, HUNTSVILLE, AL, 35801, 4739, USA
Government Business
Title PRIMARY POC
Name CARLETON H.A PYFROM
Address 110 WALKER AVENUE, HUNTSVILLE, AL, 35801, 4739, USA
Title ALTERNATE POC
Name BARBARA JOSEPH
Address 110 WALKER AVENUE, HUNTSVILLE, AL, 35801, 4739, USA
Past Performance Information not Available

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1962130351 2022-08-12 2022-08-12 PO BOX 18488, HUNTSVILLE, AL, 358048488, US 751 PLEASANT ROW NW, HUNTSVILLE, AL, 358162537, US

Contacts
Phone +1 256-534-8659
Fax 2565330276
Phone +1 256-533-6311
Fax 2565360801

Authorized person
Name CARLETON H. A. PYFROM
Role PRESIDENT/CEO
Phone 2565348659

Taxonomy
Taxonomy Code 261QF0400X - Federally Qualified Health Center (FQHC)
Is Primary Yes

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
3YKA2 Obsolete Non-Manufacturer 2004-07-22 2024-08-09 No data 2025-08-07

Contact Information
POC CARLETON H.A. PYFROM
Phone +1 256-534-8659
Fax +1 256-533-0276
Address 110 WALKER AVE NE, HUNTSVILLE, AL, 35801 4739, 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

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CENTRAL NORTH ALABAMA HEALTH SERVICES, INC. PROFIT SHARING PLAN 2023 630829524 2024-07-29 CENTRAL NORTH ALABAMA HEALTH SERVICES, INC. 74
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-09-01
Business code 621498
Sponsor’s telephone number 2565348659
Plan sponsor’s address 110 WALKER AVENUE, HUNTSVILLE, AL, 35801
CENTRAL NORTH ALABAMA HEALTH SERVICES, INC. PROFIT SHARING PLAN 2022 630829524 2023-06-12 CENTRAL NORTH ALABAMA HEALTH SERVICES, INC. 73
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-09-01
Business code 621498
Sponsor’s telephone number 2565348659
Plan sponsor’s address 110 WALKER AVENUE, HUNTSVILLE, AL, 35801

Signature of
Role Plan administrator
Date 2023-06-12
Name of individual signing CARLETON PYFROM
CENTRAL NORTH ALABAMA HEALTH SERVICES, INC. PROFIT SHARING PLAN 2021 630829524 2022-06-30 CENTRAL NORTH ALABAMA HEALTH SERVICES, INC. 87
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-09-01
Business code 621498
Sponsor’s telephone number 2565348659
Plan sponsor’s address 110 WALKER AVENUE, HUNTSVILLE, AL, 35801

Signature of
Role Plan administrator
Date 2022-06-30
Name of individual signing CARLETON PYFROM
Role Employer/plan sponsor
Date 2022-06-30
Name of individual signing CARLETON PYFROM
CENTRAL NORTH ALABAMA HEALTH SERVICES, INC. PROFIT SHARING PLAN 2020 630829524 2021-04-26 CENTRAL NORTH ALABAMA HEALTH SERVICES, INC. 86
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-09-01
Business code 621498
Sponsor’s telephone number 2565348659
Plan sponsor’s address 110 WALKER AVENUE, HUNTSVILLE, AL, 35801

Signature of
Role Plan administrator
Date 2021-04-26
Name of individual signing CARLETON PYFROM
CENTRAL NORTH ALABAMA HEALTH SERVICES, INC. PROFIT SHARING PLAN 2019 630829524 2020-05-18 CENTRAL NORTH ALABAMA HEALTH SERVICES, INC. 92
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-09-01
Business code 621498
Sponsor’s telephone number 2565348659
Plan sponsor’s address 110 WALKER AVENUE, HUNTSVILLE, AL, 35801

Signature of
Role Plan administrator
Date 2020-05-18
Name of individual signing CARLETON PYFROM
Role Employer/plan sponsor
Date 2020-05-18
Name of individual signing CARLETON PYFROM
CENTRAL NORTH ALABAMA HEALTH SERVICES, INC. PROFIT SHARING PLAN 2018 630829524 2019-05-21 CENTRAL NORTH ALABAMA HEALTH SERVICES, INC. 82
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-09-01
Business code 621498
Sponsor’s telephone number 2565348659
Plan sponsor’s address 110 WALKER AVENUE, HUNTSVILLE, AL, 35801

Signature of
Role Plan administrator
Date 2019-05-21
Name of individual signing CARLETON PYFROM
Role Employer/plan sponsor
Date 2019-05-21
Name of individual signing CARLETON PYFROM
CENTRAL NORTH ALABAMA HEALTH SERVICES, INC. PROFIT SHARING PLAN 2017 630829524 2018-05-04 CENTRAL NORTH ALABAMA HEALTH SERVICES, INC. 88
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-09-01
Business code 621498
Sponsor’s telephone number 2565348659
Plan sponsor’s address 110 WALKER AVENUE, HUNTSVILLE, AL, 35801

Signature of
Role Plan administrator
Date 2018-05-04
Name of individual signing CARLETON PYFROM
CENTRAL NORTH ALABAMA HEALTH SERVICES, INC. PROFIT SHARING PLAN 2016 630829524 2017-04-24 CENTRAL NORTH ALABAMA HEALTH SERVICES, INC. 90
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-09-01
Business code 621498
Sponsor’s telephone number 2565348659
Plan sponsor’s address 110 WALKER AVENUE, HUNTSVILLE, AL, 35801

Signature of
Role Plan administrator
Date 2017-04-24
Name of individual signing CARLETON PYFROM
CENTRAL NORTH ALABAMA HEALTH SERVICES, INC. PROFIT SHARING PLAN 2015 630829524 2016-06-28 CENTRAL NORTH ALABAMA HEALTH SERVICES, INC. 102
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-09-01
Business code 621498
Sponsor’s telephone number 2565348659
Plan sponsor’s address 110 WALKER AVENUE, HUNTSVILLE, AL, 35801

Signature of
Role Plan administrator
Date 2016-06-28
Name of individual signing CARLETON PYFROM
CENTRAL NORTH ALABAMA HEALTH SERVICES, INC. PROFIT SHARING PLAN 2014 630829524 2015-06-24 CENTRAL NORTH ALABAMA HEALTH SERVICES, INC. 108
File View Page
Three-digit plan number (PN) 001
Effective date of plan 1986-09-01
Business code 621498
Sponsor’s telephone number 2565348659
Plan sponsor’s address 110 WALKER AVENUE, HUNTSVILLE, AL, 35801

Signature of
Role Plan administrator
Date 2015-06-24
Name of individual signing CARLETON PYFROM

Agent

Name Role
PYFROM, CARLETON H A Agent

Incorporator

Name Role Address
WRIGHT, CAROL Incorporator 6862 STEEPLECHASE DRHUNTSVILLE, AL 35806
LINDSEY, GEORGE Incorporator No data
RICE, LORNA Incorporator No data
BENNETT, LETHA Incorporator No data
JACOBS, GLADYS Incorporator No data
GRIGSBY, J DIANA Incorporator No data
RAGLAND, TERRY Incorporator No data
DAY, WILEY Incorporator 101 MEADOW GLEN DRHUNTSVILLE, AL 35810
DORMER, ALINE Incorporator No data
WELLS, KAREN Incorporator No data

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Related by address

No related companies by address

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State

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