| Name: | Fourroux Prosthetics, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 18 Jan 1964 (61 years ago) |
| Entity Number: | 000-021-399 |
| Register Number: | 000021399 |
| Historical Names: |
Fourroux Brace and Shoe Company, Inc.
Fourroux Brace Company, Inc. Fourroux Orthotics and Prosthetics, Inc. |
| County: | Madison |
| Place of Formation: | Madison County |
| Principal Address: | HUNTSVILLE, AL |
| Registered Office Street Address: | 2743 BOB WALLACE AVENUE SWHUNTSVILLE, AL 35805 |
| Registered Office Street Address ZIP Code: | 35805 |
| Authorized Capital: | $400 |
| Paid Share Capital: | $2,000 |
Activities
BROKER
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| S1HHGZJXS3F5 | 2024-10-25 | 5453 N 59TH ST, TAMPA, FL, 33610, 2011, USA | 2743 BOB WALLACE AVE SW, HUNTSVILLE, AL, 35805, USA | |||||||||||||||||||||||||||||||||||||||||
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| URL | fourrouxprosthetics.com |
| Division Name | FOURROUX PROSTHETICS, INC. |
| Congressional District | 14 |
| State/Country of Incorporation | AL, USA |
| Activation Date | 2023-10-30 |
| Initial Registration Date | 2020-12-04 |
| Entity Start Date | 2020-10-18 |
| Fiscal Year End Close Date | Dec 31 |
Service Classifications
| NAICS Codes | 339113 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | JUSTIN HAYNES |
| Address | 2743 BOB WALLACE AVE SW, HUNTSVILLE, AL, 35805, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | JUSTIN HAYNES |
| Address | 2743 BOB WALLACE AVE SW, HUNTSVILLE, AL, 35805, USA |
| Past Performance | Information not Available |
|---|
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558787929 | 2014-03-10 | 2020-06-12 | 2743 BOB WALLACE AVE SW, HUNTSVILLE, AL, 358054103, US | 2867 ACTON RD, VESTAVIA, AL, 352432501, US | |||||||||||||||||||||||||||||
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| Phone | +1 256-534-8672 |
| Fax | 8009635010 |
| Phone | +1 205-874-9683 |
Authorized person
| Name | MR. W KEITH WATSON |
| Role | OWNER/PRESIDENT |
| Phone | 2565348672 |
Taxonomy
| Taxonomy Code | 335E00000X - Prosthetic/Orthotic Supplier |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 169009 |
| State | AL |
| Issuer | BCBS OF ALABAMA |
| Number | 51154335 |
| State | AL |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 3BYQ6 | Active | U.S./Canada Manufacturer | 2002-10-04 | 2024-08-26 | 2029-08-26 | 2025-08-22 | |||||||||||||||
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| POC | JUSTIN HAYNES |
| Phone | +1 256-534-8672 |
| Fax | +1 256-539-9755 |
| Address | 2743 BOB WALLACE AVE SW, HUNTSVILLE, AL, 35805 4103, 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 |
|---|
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FOURROUX ORTHOTICS AND PROSTHETICS 401K RETIREMENT PLAN | 2013 | 630480130 | 2014-07-07 | FOURROUX ORTHOTICS AND PROSTHETICS, INC. | 28 | |||||||||||||||||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2014-07-07 |
| Name of individual signing | KEITH WATSON |
| File | View Page |
| Three-digit plan number (PN) | 003 |
| Effective date of plan | 2004-01-01 |
| Business code | 621399 |
| Sponsor’s telephone number | 2565348672 |
| Plan sponsor’s address | 2743 BOB WALLACE AVENUE, HUNTSVILLE, AL, 35805 |
Signature of
| Role | Plan administrator |
| Date | 2013-06-03 |
| Name of individual signing | KEITH WATSON |
| Role | Employer/plan sponsor |
| Date | 2013-06-03 |
| Name of individual signing | KEITH WATSON |
| File | View Page |
| Three-digit plan number (PN) | 003 |
| Effective date of plan | 2004-01-01 |
| Business code | 621399 |
| Sponsor’s telephone number | 2565348672 |
| Plan sponsor’s address | 2743 BOB WALLACE AVENUE, HUNTSVILLE, AL, 35805 |
Plan administrator’s name and address
| Administrator’s EIN | 630480130 |
| Plan administrator’s name | FOURROUX ORTHOTICS AND PROSTHETICS, INC. |
| Plan administrator’s address | 2743 BOB WALLACE AVENUE, HUNTSVILLE, AL, 35805 |
| Administrator’s telephone number | 2565348672 |
Signature of
| Role | Plan administrator |
| Date | 2012-05-16 |
| Name of individual signing | WILLIAM KEITH WATSON |
| Role | Employer/plan sponsor |
| Date | 2012-05-16 |
| Name of individual signing | WILLIAM KEITH WATSON |
| File | View Page |
| Three-digit plan number (PN) | 003 |
| Effective date of plan | 2004-01-01 |
| Business code | 621399 |
| Sponsor’s telephone number | 2565348672 |
| Plan sponsor’s address | 2743 BOB WALLACE AVENUE, HUNTSVILLE, AL, 35805 |
Plan administrator’s name and address
| Administrator’s EIN | 630480130 |
| Plan administrator’s name | FOURROUX ORTHOTICS AND PROSTHETICS, INC. |
| Plan administrator’s address | 2743 BOB WALLACE AVENUE, HUNTSVILLE, AL, 35805 |
| Administrator’s telephone number | 2565348672 |
Signature of
| Role | Plan administrator |
| Date | 2011-05-13 |
| Name of individual signing | KEITH WATSON |
| Role | Employer/plan sponsor |
| Date | 2011-05-13 |
| Name of individual signing | KEITH WATSON |
| File | View Page |
| Three-digit plan number (PN) | 003 |
| Effective date of plan | 2004-01-01 |
| Business code | 621399 |
| Sponsor’s telephone number | 2565348672 |
| Plan sponsor’s address | 2743 BOB WALLACE AVENUE, HUNTSVILLE, AL, 35805 |
Plan administrator’s name and address
| Administrator’s EIN | 630480130 |
| Plan administrator’s name | FOURROUX ORTHOTICS AND PROSTHETICS, INC. |
| Plan administrator’s address | 2743 BOB WALLACE AVENUE, HUNTSVILLE, AL, 35805 |
| Administrator’s telephone number | 2565348672 |
Signature of
| Role | Plan administrator |
| Date | 2010-07-19 |
| Name of individual signing | ANGELA GURLEY |
| Name | Role | Address |
|---|---|---|
| WATSON, KEITH | Agent | 2743 BOB WALLACE AVENUE SW SUITE CHUNTSVILLE, AL 35805 |
| Name | Role |
|---|---|
| FOURROUX, GEORGE E | Incorporator |
| FOURROUX, NESTER R JR | Incorporator |
| FOURROUX, ANNA CHRISTINE | Incorporator |
| FOURROUX, EMMA LOU | Incorporator |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2009-12-08 | Name Change | Fourroux Orthotics and Prosthetics, Inc. | Fourroux Prosthetics, Inc. |
| 2001-09-28 | Capital Change | $2,000 Authorized $2,000 Paid In | $400 Authorized $2,000 Paid In |
| 1989-11-01 | Name Change | Fourroux Brace Company, Inc. | Fourroux Orthotics and Prosthetics, Inc. |
| 1989-01-03 | Name Change | Fourroux Brace and Shoe Company, Inc. | Fourroux Brace Company, Inc. |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PURCHASE ORDER | AWARD | 36C24724P1271 | 2024-09-13 | 2024-12-31 | 2024-12-31 | |||||||||||||||||||||||||
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| Obligated Amount | 12501.91 |
| Current Award Amount | 12501.91 |
| Potential Award Amount | 12501.91 |
Description
| Title | LIMB |
| NAICS Code | 339112: SURGICAL AND MEDICAL INSTRUMENT MANUFACTURING |
| Product and Service Codes | 6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES |
Recipient Details
| Recipient | FOURROUX PROSTHETICS, INC. |
| UEI | EMC4CMVYMPX5 |
| Recipient Address | UNITED STATES, 2743 BOB WALLACE AVE SW, HUNTSVILLE, MADISON, ALABAMA, 358054103 |
| Unique Award Key | CONT_AWD_36C24724P1217_3600_-NONE-_-NONE- |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Award Amounts
| Obligated Amount | 13787.32 |
| Current Award Amount | 13787.32 |
| Potential Award Amount | 13787.32 |
Description
| Title | LIMB |
| NAICS Code | 339112: SURGICAL AND MEDICAL INSTRUMENT MANUFACTURING |
| Product and Service Codes | 6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES |
Recipient Details
| Recipient | FOURROUX PROSTHETICS, INC. |
| UEI | EMC4CMVYMPX5 |
| Recipient Address | UNITED STATES, 2743 BOB WALLACE AVE SW, HUNTSVILLE, MADISON, ALABAMA, 358054103 |
| Unique Award Key | CONT_AWD_VA24712P1055_3600_-NONE-_-NONE- |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Description
| Title | LIMB |
| NAICS Code | 423450: MEDICAL, DENTAL, AND HOSPITAL EQUIPMENT AND SUPPLIES MERCHANT WHOLESALERS |
| Product and Service Codes | 6545: REPLENISHABLE FIELD MEDICAL SETS, KITS, AND OUTFITS |
Recipient Details
| Recipient | FOURROUX PROSTHETICS, INC. |
| UEI | EMC4CMVYMPX5 |
| Legacy DUNS | 031633712 |
| Recipient Address | UNITED STATES, 2743 BOB WALLACE AVE SW, HUNTSVILLE, 358054103 |
| Unique Award Key | CONT_AWD_VA5211O1413_3600_-NONE-_-NONE- |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Description
| Title | LIMB |
| NAICS Code | 423450: MEDICAL, DENTAL, AND HOSPITAL EQUIPMENT AND SUPPLIES MERCHANT WHOLESALERS |
| Product and Service Codes | 6545: MEDICAL SETS KITS & OUTFITS |
Recipient Details
| Recipient | FOURROUX PROSTHETICS, INC. |
| UEI | EMC4CMVYMPX5 |
| Legacy DUNS | 031633712 |
| Recipient Address | UNITED STATES, 2743 BOB WALLACE AVE SW, HUNTSVILLE, 358054103 |
| Unique Award Key | CONT_AWD_VA521O16242_3600_-NONE-_-NONE- |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Description
| Title | LIMB |
| NAICS Code | 423450: MEDICAL, DENTAL, AND HOSPITAL EQUIPMENT AND SUPPLIES MERCHANT WHOLESALERS |
| Product and Service Codes | 6545: MEDICAL SETS KITS & OUTFITS |
Recipient Details
| Recipient | FOURROUX PROSTHETICS, INC. |
| UEI | EMC4CMVYMPX5 |
| Legacy DUNS | 031633712 |
| Recipient Address | UNITED STATES, 2743 BOB WALLACE AVE SW, HUNTSVILLE, 358054103 |
| Unique Award Key | CONT_AWD_V521N98454_3600_-NONE-_-NONE- |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Description
| Title | PROSTHETIC LIMB |
| NAICS Code | 339112: SURGICAL AND MEDICAL INSTRUMENT MANUFACTURING |
| Product and Service Codes | 6515: MED & SURGICAL INSTRUMENTS,EQ & SUP |
Recipient Details
| Recipient | FOURROUX PROSTHETICS, INC. |
| UEI | EMC4CMVYMPX5 |
| Legacy DUNS | 031633712 |
| Recipient Address | UNITED STATES, 2743 BOB WALLACE AVE SW, HUNTSVILLE, 358054103 |
| Unique Award Key | CONT_AWD_V508N92758_3600_-NONE-_-NONE- |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Description
| Title | PROSTHETIC LIMB |
| NAICS Code | 339112: SURGICAL AND MEDICAL INSTRUMENT MANUFACTURING |
| Product and Service Codes | 6515: MED & SURGICAL INSTRUMENTS,EQ & SUP |
Recipient Details
| Recipient | FOURROUX PROSTHETICS, INC. |
| UEI | EMC4CMVYMPX5 |
| Legacy DUNS | 031633712 |
| Recipient Address | UNITED STATES, 2743 BOB WALLACE AVE SW, HUNTSVILLE, 358054103 |
| Unique Award Key | CONT_AWD_V626PROSFY08031633712_3600_-NONE-_-NONE- |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Description
| Title | PROSTHETICS EXPRESS REPORT FY 08 |
| NAICS Code | 423450: MEDICAL, DENTAL, AND HOSPITAL EQUIPMENT AND SUPPLIES MERCHANT WHOLESALERS |
| Product and Service Codes | J065: MAINT-REP OF MEDICAL-DENTAL-VET EQ |
Recipient Details
| Recipient | FOURROUX PROSTHETICS, INC. |
| UEI | EMC4CMVYMPX5 |
| Legacy DUNS | 031633712 |
| Recipient Address | UNITED STATES, 2743 BOB WALLACE AVE SW, HUNTSVILLE, 358054103 |
| Unique Award Key | CONT_AWD_V521PROSFY08031633712_3600_-NONE-_-NONE- |
| Awarding Agency | Department of Veterans Affairs |
| Link | View Page |
Description
| Title | PROSTHETICS EXPRESS REPORT FY 08 |
| NAICS Code | 423450: MEDICAL, DENTAL, AND HOSPITAL EQUIPMENT AND SUPPLIES MERCHANT WHOLESALERS |
| Product and Service Codes | J065: MAINT-REP OF MEDICAL-DENTAL-VET EQ |
Recipient Details
| Recipient | FOURROUX PROSTHETICS, INC. |
| UEI | EMC4CMVYMPX5 |
| Legacy DUNS | 031633712 |
| Recipient Address | UNITED STATES, 2743 BOB WALLACE AVE SW, HUNTSVILLE, 358054103 |
Date of last update: 30 Jul 2024
Sources: Alabama Secretary of State
