| Name: | Greater Alabama 310 Board, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Non-Profit Corporation |
| Status: | Exists |
| Date of registration: | 22 Jun 1994 (31 years ago) |
| Entity Number: | 000-813-695 |
| Register Number: | 000813695 |
| Historical Names: |
The Mental Retardation and Development Disabilities Health Care Authority of Jefferson County, Inc.
The Jefferson County Intellectual and Developmental DisabilitiesAuthority, Inc. Central Alabama 310 Board Authority, Inc. |
| ZIP code: | 35209 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Registered Office Street Address: | 117 GEMINI CIRCLESUITE 407BIRMINGHAM, AL 35209 |
Activities
HEALTH CARE AUTHORITY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1063593986 | 2006-10-18 | 2024-01-26 | 117 GEMINI CIRCLE, SUITE 407, BIRMINGHAM, AL, 35209, US | 117 GEMINI CIRCLE, SUITE 407, BIRMINGHAM, AL, 35209, US | |||||||||||||||||||||
|
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| Phone | +1 205-945-9310 |
| Fax | 2059458527 |
Authorized person
| Name | MS. KENDRA EIDSON |
| Role | EXECUTIVE DIRECTOR |
| Phone | 2059459310 |
Taxonomy
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 591500033 |
| State | AL |
| Name | Role |
|---|---|
| KENDRA EIDSON | Agent |
| Name | Role | Address |
|---|---|---|
| REGULUS, ROBERT | Incorporator | No data |
| FREEMAN JANICE | Incorporator | No data |
| DUTT, WAYNE E | Incorporator | 3425 COLLINGWOOD ROADBIRMINGHAM, AL 35226 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2023-08-23 | Name Change | Central Alabama 310 Board Authority, Inc. | Greater Alabama 310 Board, Inc. |
| 2020-04-28 | Name Change | The Jefferson County Intellectual and Developmental DisabilitiesAuthority, Inc. | Central Alabama 310 Board Authority, Inc. |
| 2010-03-30 | Name Change | The Mental Retardation and Development Disabilities Health Care Authority of Jefferson County, Inc. | The Jefferson County Intellectual and Developmental DisabilitiesAuthority, Inc. |
Date of last update: 16 Aug 2024
Sources: Alabama Secretary of State
