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East Alabama Durable Medical Equipment, Inc.

Details

Name: East Alabama Durable Medical Equipment, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 05 Jul 1985 (39 years ago)
Entity Number: 000-104-776
Register Number: 000104776
County: Chambers
Place of Formation: Chambers County
Principal Address: VALLEY, AL
Registered Office Street Address: 4500-20TH AVEVALLEY, AL 36854
Registered Office Street Address ZIP Code: 36854
Authorized Capital: $100,000

Activities HOSPITAL MEDICAL EQUIPMENT & SUPPLIES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1013007236 2006-10-16 2020-08-22 4500 20TH AVE, VALLEY, AL, 368543541, US 4500 20TH AVE, VALLEY, AL, 368543541, US

Contacts

Phone +1 334-756-7387
Fax 3347569106

Authorized person

Name MR. JOHN H HOOD II
Role PRESIDENT
Phone 3347567387

Taxonomy

Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
License Number 196
State AL
Is Primary No
Taxonomy Code 332BP3500X - Parenteral & Enteral Nutrition Supplies (DME)
License Number 196
State AL
Is Primary No
Taxonomy Code 332BX2000X - Oxygen Equipment & Supplies (DME)
License Number 18633
State AL
Is Primary No

Other Provider Identifiers

Issuer BCBS PROVIDER NUMBER
Number 51054605
State AL

Agent

Name Role Address
HOOD, JOHN H II Agent 4500 20TH AVENUEVALLEY, AL 36854

Incorporator

Name Role Address
HOOD, JOHN H II Incorporator 4500 20TH AVENUEVALLEY, AL 36854

Date of last update: 31 Jul 2024

Sources: Alabama Secretary of State