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Carlisle Medical, Inc.

Headquarter

Details

Name: Carlisle Medical, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 03 Jan 1985 (40 years ago)
Entity Number: 000-101-668
Register Number: 000101668
County: Mobile
Place of Formation: Mobile County
Principal Address: MOBILE, AL
Registered Office Street Address: 801 EXECUTIVE PARK DRMOBILE, AL 36606
Registered Office Street Address ZIP Code: 36606
Authorized Capital: $1,000

Activities MEDICAL SUPPLIES

Links between entities

Type Company Name Company Number State
Headquarter of Carlisle Medical, Inc. CORP_68196086 ILLINOIS
Headquarter of Carlisle Medical, Inc. 0bef904e-8880-e911-9174-00155d01b32c MINNESOTA

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1881928000 2009-09-21 2017-02-20 PO BOX 9814, MOBILE, AL, 366910814, US 509 BOULEVARD PARK E, MOBILE, AL, 366093425, US

Contacts

Phone +1 800-553-1783
Fax 8554515140
Phone +1 251-344-7988
Fax 2513437682

Authorized person

Name JEFF CARLISLE
Role VICE PRESIDENT
Phone 2513447988

Taxonomy

Taxonomy Code 3336M0002X - Mail Order Pharmacy
License Number 102101
State AL
Is Primary Yes
Taxonomy Code 3336M0002X - Mail Order Pharmacy
License Number A9-0001215
State DE
Is Primary No
Taxonomy Code 3336M0002X - Mail Order Pharmacy
License Number 22-02973
State KS
Is Primary No
Taxonomy Code 3336M0002X - Mail Order Pharmacy
License Number PHY.005485-NR
State LA
Is Primary No
Taxonomy Code 3336M0002X - Mail Order Pharmacy
License Number 64001925A
State IN
Is Primary No
Taxonomy Code 3336M0002X - Mail Order Pharmacy
License Number OSP0006045
State CO
Is Primary No
Taxonomy Code 3336M0002X - Mail Order Pharmacy
License Number PH25597
State FL
Is Primary No
Taxonomy Code 3336M0002X - Mail Order Pharmacy
License Number NRP1555
State CA
Is Primary No
Taxonomy Code 3336M0002X - Mail Order Pharmacy
License Number 54.017913
State IL
Is Primary No
Taxonomy Code 3336M0002X - Mail Order Pharmacy
License Number PO6218
State MD
Is Primary No
Taxonomy Code 3336M0002X - Mail Order Pharmacy
License Number 263934
State MN
Is Primary No
Taxonomy Code 3336M0002X - Mail Order Pharmacy
License Number 5301009817
State MI
Is Primary No
Taxonomy Code 3336M0002X - Mail Order Pharmacy
License Number 4201
State IA
Is Primary No
Taxonomy Code 3336M0002X - Mail Order Pharmacy
License Number PHNR000189
State GA
Is Primary No
Taxonomy Code 3336M0002X - Mail Order Pharmacy
License Number AL1513
State KY
Is Primary No

Other Provider Identifiers

Issuer PK
Number 1991543

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
CARLISLE MEDICAL INC CAFETERIA PLAN 2021 630890498 2022-11-15 CARLISLE MEDICAL INC 184
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1990-09-01
Business code 446110
Sponsor’s telephone number 2513447988
Plan sponsor’s mailing address PO BOX 9814, MOBILE, AL, 36691
Plan sponsor’s address PO BOX 9814, MOBILE, AL, 36691

Number of participants as of the end of the plan year

Active participants 96
CARLISLE MEDICAL INC CAFETERIA PLAN 2020 630890498 2021-11-15 CARLISLE MEDICAL INC 129
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1990-09-01
Business code 446110
Sponsor’s telephone number 2513447988
Plan sponsor’s mailing address PO BOX 9814, MOBILE, AL, 36691
Plan sponsor’s address PO BOX 9814, MOBILE, AL, 36691

Number of participants as of the end of the plan year

Active participants 184
CARLISLE MEDICAL INC CAFETERIA PLAN 2019 630890498 2020-11-12 CARLISLE MEDICAL INC 158
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1990-09-01
Business code 446110
Sponsor’s telephone number 2513447988
Plan sponsor’s mailing address PO BOX 9814, MOBILE, AL, 36691
Plan sponsor’s address PO BOX 9814, MOBILE, AL, 36691

Number of participants as of the end of the plan year

Active participants 129
CARLISLE MEDICAL INC CAFETERIA PLAN 2018 630890498 2019-11-15 CARLISLE MEDICAL INC 180
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1990-09-01
Business code 446110
Sponsor’s telephone number 2513447988
Plan sponsor’s mailing address PO BOX 9814, MOBILE, AL, 36691
Plan sponsor’s address PO BOX 9814, MOBILE, AL, 36691

Number of participants as of the end of the plan year

Active participants 158
CARLISLE MEDICAL INC CAFETERIA PLAN 2017 630890498 2018-10-10 CARLISLE MEDICAL INC 169
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1990-09-01
Business code 446110
Sponsor’s telephone number 2513447988
Plan sponsor’s mailing address PO BOX 9814, MOBILE, AL, 36691
Plan sponsor’s address PO BOX 9814, MOBILE, AL, 36691

Number of participants as of the end of the plan year

Active participants 180
CARLISLE MEDICAL INC CAFETERIA PLAN 2016 630890498 2017-07-25 CARLISLE MEDICAL INC 135
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1990-09-01
Business code 446110
Sponsor’s telephone number 2513447988
Plan sponsor’s mailing address PO BOX 9814, MOBILE, AL, 36691
Plan sponsor’s address PO BOX 9814, MOBILE, AL, 36691

Number of participants as of the end of the plan year

Active participants 169
CARLISLE MEDICAL INC CAFETERIA PLAN 2015 630890498 2016-09-07 CARLISLE MEDICAL INC 112
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1990-09-01
Business code 446110
Sponsor’s telephone number 2513447988
Plan sponsor’s mailing address PO BOX 9814, MOBILE, AL, 36691
Plan sponsor’s address PO BOX 9814, MOBILE, AL, 36691

Number of participants as of the end of the plan year

Active participants 135
CARLISLE MEDICAL INC CAFETERIA PLAN 2014 630890498 2015-06-15 CARLISLE MEDICAL INC 106
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1990-09-01
Business code 446110
Sponsor’s telephone number 2513447988
Plan sponsor’s mailing address PO BOX 9814, MOBILE, AL, 36691
Plan sponsor’s address PO BOX 9814, MOBILE, AL, 36691

Number of participants as of the end of the plan year

Active participants 112
CARLISLE MEDICAL INC CAFETERIA PLAN 2013 630890498 2015-02-18 CARLISLE MEDICAL INC 136
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1990-09-01
Business code 446110
Sponsor’s telephone number 2513447988
Plan sponsor’s mailing address PO BOX 9814, MOBILE, AL, 36691
Plan sponsor’s address PO BOX 9814, MOBILE, AL, 36691

Number of participants as of the end of the plan year

Active participants 112
CARLISLE MEDICAL INC CAFETERIA PLAN 2012 630890498 2014-07-28 CARLISLE MEDICAL INC 98
File View Page
Three-digit plan number (PN) 501
Effective date of plan 1990-09-01
Business code 446110
Sponsor’s telephone number 2513447988
Plan sponsor’s mailing address PO BOX 9814, MOBILE, AL, 36691
Plan sponsor’s address PO BOX 9814, MOBILE, AL, 36691

Number of participants as of the end of the plan year

Active participants 136

Signature of

Role Plan administrator
Date 2014-07-01
Name of individual signing ALLEN MCLEAN
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role
CARLISLE, DONNIE R Agent

Incorporator

Name Role
HYER, RONNIE Incorporator
HYER, MELVIN Incorporator
CARLISLE, DONNIE R Incorporator

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State