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  5. Triad of Alabama, LLC

Triad of Alabama, LLC

Details

Name: Triad of Alabama, LLC
Jurisdiction: Alabama
Legal type: Foreign Limited Liability Company
Status: Exists
Date of registration: 28 May 2003 (22 years ago)
Entity Number: 000-605-376
Register Number: 000605376
ZIP code: 36104
County: Montgomery
Place of Formation: Delaware
Principal Address: 5800 TENNYSON PKWYPLANO, TX 75024
Principal Mailing Address: P.O. BOX 1459LA JOLLA, CA 92038-1459
Registered Office Street Address: 641 S LAWRENCE STMONTGOMERY, AL 36104

Activities HEALTHCARE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1700820891 2006-06-16 2007-10-18 7100 COMMERCE WAY, STE. 180, BRENTWOOD, TN, 370272829, US 4300 W MAIN ST, SUITE 41, DOTHAN, AL, 363051054, US

Contacts
Phone +1 615-465-7626
Fax 6154653007
Phone +1 334-793-5000

Authorized person
Name DEBBIE BREWER
Role DIRECTOR
Phone 6154657626

Taxonomy
Taxonomy Code 261Q00000X - Clinic/Center
Is Primary No
Taxonomy Code 261QM1300X - Multi-Specialty Clinic/Center
Is Primary Yes

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
43LC7 Active Non-Manufacturer 2005-08-23 2024-09-04 2028-09-07 2024-09-04

Contact Information
POC CRYSTAL KEELING
Phone +1 270-315-7729
Address 4370 W MAIN ST, DOTHAN, AL, 36305 1056, 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

Agent

Name Role Address
CORPORATION SERVICE COMPANY Agent 641 SOUTH LAWRENCE STREETMONTGOMERY, AL 36104

Awards

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
PO AWARD DJBMNAJVB2301121 2010-08-10 2010-08-10 2010-09-30
Unique Award Key CONT_AWD_DJBMNAJVB2301121_1540_-NONE-_-NONE-
Awarding Agency Department of Justice
Link View Page

Description
Title MEDICAL SERVICES
NAICS Code 622110: GENERAL MEDICAL AND SURGICAL HOSPITALS
Product and Service Codes Q201: GENERAL HEALTH CARE SERVICES

Recipient Details
Recipient TRIAD OF ALABAMA, LLC
UEI CPSXM6BDAQN6
Legacy DUNS 075467464
Recipient Address UNITED STATES, 4370 W MAIN ST, DOTHAN, 363051056
PO AWARD DJBMNAJVUB20019 2010-07-07 2010-07-10 2010-09-30
Unique Award Key CONT_AWD_DJBMNAJVUB20019_1540_-NONE-_-NONE-
Awarding Agency Department of Justice
Link View Page

Description
Title MEDICAL SERVICES
NAICS Code 622110: GENERAL MEDICAL AND SURGICAL HOSPITALS
Product and Service Codes Q201: GENERAL HEALTH CARE SERVICES

Recipient Details
Recipient TRIAD OF ALABAMA, LLC
UEI CPSXM6BDAQN6
Legacy DUNS 075467464
Recipient Address UNITED STATES, 4370 W MAIN ST, DOTHAN, 363051056
PO AWARD DJBMNAJVUB20016 2010-07-06 2010-07-06 2010-09-30
Unique Award Key CONT_AWD_DJBMNAJVUB20016_1540_-NONE-_-NONE-
Awarding Agency Department of Justice
Link View Page

Description
Title MEDICAL SERVICES
NAICS Code 622110: GENERAL MEDICAL AND SURGICAL HOSPITALS
Product and Service Codes Q201: GENERAL HEALTH CARE SERVICES

Recipient Details
Recipient TRIAD OF ALABAMA, LLC
UEI CPSXM6BDAQN6
Legacy DUNS 075467464
Recipient Address UNITED STATES, 4370 W MAIN ST, DOTHAN, 363051056
PO AWARD DJBMNAJVB230696 2010-04-26 2010-04-27 2010-09-30
Unique Award Key CONT_AWD_DJBMNAJVB230696_1540_-NONE-_-NONE-
Awarding Agency Department of Justice
Link View Page

Description
Title MEDICAL SERVICES
NAICS Code 622110: GENERAL MEDICAL AND SURGICAL HOSPITALS
Product and Service Codes Q201: GENERAL HEALTH CARE SERVICES

Recipient Details
Recipient TRIAD OF ALABAMA, LLC
UEI CPSXM6BDAQN6
Legacy DUNS 075467464
Recipient Address UNITED STATES, 4370 W MAIN ST, DOTHAN, 363051056
PO AWARD DJBMNAIVB231146 2009-07-06 2009-07-06 2009-09-30
Unique Award Key CONT_AWD_DJBMNAIVB231146_1540_-NONE-_-NONE-
Awarding Agency Department of Justice
Link View Page

Description
Title INMATE MEDICAL TREATMENT
NAICS Code 622110: GENERAL MEDICAL AND SURGICAL HOSPITALS
Product and Service Codes Q201: GENERAL HEALTH CARE SERVICES

Recipient Details
Recipient TRIAD OF ALABAMA, LLC
UEI CPSXM6BDAQN6
Legacy DUNS 075467464
Recipient Address UNITED STATES, 4370 W MAIN STREET, DOTHAN, 363051056
PO AWARD DJBMNAIVB230851 2009-04-29 2009-09-30 2009-09-30
Unique Award Key CONT_AWD_DJBMNAIVB230851_1540_-NONE-_-NONE-
Awarding Agency Department of Justice
Link View Page

Description
Title MEDICAL TREATMENT
NAICS Code 622110: GENERAL MEDICAL AND SURGICAL HOSPITALS
Product and Service Codes Q201: GENERAL HEALTH CARE SERVICES

Recipient Details
Recipient TRIAD OF ALABAMA, LLC
UEI CPSXM6BDAQN6
Legacy DUNS 075467464
Recipient Address UNITED STATES, 4370 W MAIN STREET, DOTHAN, 363051056
PO AWARD DJBMNAIVB230727 2009-04-17 2009-09-30 2009-09-30
Unique Award Key CONT_AWD_DJBMNAIVB230727_1540_-NONE-_-NONE-
Awarding Agency Department of Justice
Link View Page

Description
Title MEDICAL TREATMENT
NAICS Code 622110: GENERAL MEDICAL AND SURGICAL HOSPITALS
Product and Service Codes Q201: GENERAL HEALTH CARE SERVICES

Recipient Details
Recipient TRIAD OF ALABAMA, LLC
UEI CPSXM6BDAQN6
Legacy DUNS 075467464
Recipient Address UNITED STATES, 4370 W MAIN STREET, DOTHAN, 363051056
PO AWARD DJBMNAIVB230345 2009-01-26 2009-09-30 2009-09-30
Unique Award Key CONT_AWD_DJBMNAIVB230345_1540_-NONE-_-NONE-
Awarding Agency Department of Justice
Link View Page

Description
Title MEDICAL TREATMENT
NAICS Code 622110: GENERAL MEDICAL AND SURGICAL HOSPITALS
Product and Service Codes Q201: GENERAL HEALTH CARE SERVICES

Recipient Details
Recipient TRIAD OF ALABAMA, LLC
UEI CPSXM6BDAQN6
Legacy DUNS 075467464
Recipient Address UNITED STATES, 4370 W MAIN STREET, DOTHAN, 363051056
PO AWARD DJBMNAIVB230229 2009-01-03 2009-09-30 2009-09-30
Unique Award Key CONT_AWD_DJBMNAIVB230229_1540_-NONE-_-NONE-
Awarding Agency Department of Justice
Link View Page

Description
Title MEDICAL TREATMENT
NAICS Code 622110: GENERAL MEDICAL AND SURGICAL HOSPITALS
Product and Service Codes Q201: GENERAL HEALTH CARE SERVICES

Recipient Details
Recipient TRIAD OF ALABAMA, LLC
UEI CPSXM6BDAQN6
Legacy DUNS 075467464
Recipient Address UNITED STATES, 4370 W MAIN STREET, DOTHAN, 363051056
PO AWARD DJBMNAHVB230038 2007-11-07 2007-12-01 2007-12-01
Unique Award Key CONT_AWD_DJBMNAHVB230038_1540_-NONE-_-NONE-
Awarding Agency Department of Justice
Link View Page

Description
Title MEDICAL TREATMENT
NAICS Code 525120: HEALTH AND WELFARE FUNDS
Product and Service Codes Q526: MEDICAL/PSYCH CONSULTATION SVCS

Recipient Details
Recipient TRIAD OF ALABAMA, LLC
UEI CPSXM6BDAQN6
Legacy DUNS 075467464
Recipient Address UNITED STATES, 4370 W MAIN STREET, DOTHAN, 363051056

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Date of last update: 15 Aug 2024

Sources: Alabama Secretary of State

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