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