Name: | Godbee Medical Distributors, Inc. |
Jurisdiction: | Alabama |
Legal type: | Domestic Corporation |
Status: | Dissolved |
Date of registration: | 17 Jun 1983 (41 years ago) |
Date of dissolution: | 05 Dec 2023 |
Entity Number: | 000-092-613 |
Register Number: | 000092613 |
County: | Jefferson |
Place of Formation: | Chilton County |
Registered Office Street Address: | 2109 DEVEREUX CIRCLEBIRMINGHAM, AL 35243 |
Registered Office Street Address ZIP Code: | 35243 |
Authorized Capital: | $100,000 |
Paid Share Capital: | $1,000 |
Activities
MEDICAL EQUIPMENT
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1881691954 | 2005-07-05 | 2016-04-07 | PO BOX 530156, BIRMINGHAM, AL, 352530156, US | 16 OFFICE PARK CIR STE 10C, MOUNTAIN BRK, AL, 352232923, US | |||||||||||||||||||||||||||||||||||||||||||||||||||
|
Phone | +1 865-806-9997 |
Authorized person
Name | BARON O. HUBER |
Role | OWNER |
Phone | 8658069997 |
Taxonomy
Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
License Number | 372 |
State | AL |
Is Primary | Yes |
Taxonomy Code | 332BP3500X - Parenteral & Enteral Nutrition Supplies (DME) |
License Number | 372 |
State | AL |
Is Primary | No |
Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
License Number | 372 |
State | AL |
Is Primary | No |
Other Provider Identifiers
Issuer | BLUE CROSS/BLUE SHIELD AL |
Number | 51054367 |
State | AL |
Issuer | HEALTHSPRING OF AL |
Number | 1230249 |
State | AL |
Issuer | MEDICAID |
Number | 000054367 |
State | AL |
Name | Role |
---|---|
GODBEE, S S III | Incorporator |
GODBEE, SHERRILL | Incorporator |
CAUDLE, TAMELA | Incorporator |
Name | Role |
---|---|
CAMERON, DENNIS | Agent |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State