| Name: | Independent Health Services, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 31 Mar 1970 (55 years ago) |
| Entity Number: | 000-016-260 |
| Register Number: | 000016260 |
| Historical Names: |
Sanderson Drug Store, Inc.
Sanderson Sickroom Supplies, Incorporated Sanderson Medical Equipment, Inc. |
| ZIP code: | 36104 |
| County: | Montgomery |
| Place of Formation: | DeKalb County |
| Principal Address: | RAINSVILLE, AL |
| Registered Office Street Address: | 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104 |
| Authorized Capital: | $50,000 |
| Paid Share Capital: | $10,000 |
Activities
DRUGS ETC
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | Independent Health Services, Inc., MISSISSIPPI | 1029202 | MISSISSIPPI |
| Headquarter of | Independent Health Services, Inc., FLORIDA | F18000005541 | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1760557227 | 2006-11-21 | 2020-08-22 | PO BOX 1428, RAINSVILLE, AL, 35986, US | 504 MCCURDY AVE SW, STE 100, RAINSVILLE, AL, 35986, US | |||||||||||||||||||||||||||||
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| Phone | +1 256-638-1060 |
| Fax | 2566381061 |
Authorized person
| Name | MS. MYRA L SANDERSON |
| Role | VP AND GENERAL COUNSEL |
| Phone | 2566381060 |
Taxonomy
| Taxonomy Code | 3336M0002X - Mail Order Pharmacy |
| License Number | 111570 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 10003088 |
| State | AL |
| Issuer | NABP |
| Number | 0129331 |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 31WM0 | Active | Non-Manufacturer | 2004-09-24 | 2023-02-16 | 2027-01-19 | 2023-02-16 | |||||||||||||||
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| POC | ROY SANDERSON |
| Phone | +1 800-638-3104 |
| Fax | +1 800-638-9459 |
| Address | 504 MCCURDY AVE S STE1, RAINSVILLE, AL, 35986 5254, 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 |
|---|
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY INC. | Agent |
| Name | Role | Address |
|---|---|---|
| SANDERSON, ROY | Incorporator | 527 RAINBOW AVENUE SRAINSVILLE, AL 35986 |
| SANDERSON, LOUISE | Incorporator | No data |
| BAKER, JOHN | Incorporator | 615 WILMER AVENUEANNISTON, AL 36201 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 1998-12-09 | Name Change | Sanderson Medical Equipment, Inc. | Independent Health Services, Inc. |
| 1992-12-30 | Name Change | Sanderson Sickroom Supplies, Incorporated | Sanderson Medical Equipment, Inc. |
| 1982-07-16 | Name Change | Sanderson Drug Store, Inc. | Sanderson Sickroom Supplies, Incorporated |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PO | AWARD | DJMS1071M0018 | 2009-10-01 | 2010-09-30 | 2010-09-30 | |||||||||||||||||||||
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| Title | 1501020 PHARMACEUTICAL NEEDS FOR FEDERAL PRISONERS |
| NAICS Code | 446110: PHARMACIES AND DRUG STORES |
| Product and Service Codes | Q517: PHARMACOLOGY SERVICES |
Recipient Details
| Recipient | INDEPENDENT HEALTH SERVICES INC |
| UEI | V8HVTLK4LSJ1 |
| Legacy DUNS | 115601770 |
| Recipient Address | UNITED STATES, 504 MCCURDY AVE S STE1, RAINSVILLE, 359865254 |
| Unique Award Key | CONT_AWD_DJMS0971M0018_1544_-NONE-_-NONE- |
| Awarding Agency | Department of Justice |
| Link | View Page |
Description
| Title | 1591020 PHARMACEUTICAL NEEDS FOR FEDERAL PRISONERS |
| NAICS Code | 446110: PHARMACIES AND DRUG STORES |
| Product and Service Codes | Q517: PHARMACOLOGY SERVICES |
Recipient Details
| Recipient | INDEPENDENT HEALTH SERVICES INC |
| UEI | V8HVTLK4LSJ1 |
| Legacy DUNS | 115601770 |
| Recipient Address | UNITED STATES, 504 MC CURDY AVE S STE1, RAINSVILLE, 359865254 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8700177007 | 2020-04-08 | 0459 | PPP | 504 MCCURDY AVE SOUTH SUITE 7, RAINSVILLE, AL, 35986-4406 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
