| Name: | Gum Creek Enterprises, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Dissolved |
| Date of registration: | 22 Dec 1995 (29 years ago) (Companies founded in December 1995) |
| Date of dissolution: | 27 Mar 2012 |
| Entity Number: | 000-176-331 |
| Register Number: | 000176331 |
| Place of Formation: | Franklin County |
| Registered Office Street Address: | 1414 COUNTY CLUB DRIVERED BAY, AL |
| Registered Office Mailing Address: | PO BOX 845RED BAY, AL |
| Authorized Capital: | $1,000 |
| Paid Share Capital: | ---- |
Activities
BUYING/SELLING/LEASING & RENTING MEDICAL/HEALTH CARE EQUIPMENT
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1427194273 | 2007-01-29 | 2011-05-03 | PO BOX 1250, 929 4TH ST NW, RED BAY, AL, 355821250, US | 929 4TH ST NW, RED BAY, AL, 355821250, US | |||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 256-356-9111 |
| Fax | 2563569111 |
Authorized person
| Name | MRS. MELISA C MASON |
| Role | MANAGER |
| Phone | 2563569111 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 00440339 |
| State | MS |
| Issuer | BCBS AL |
| Number | 51031062 |
| State | AL |
| Issuer | MEDICAID |
| Number | 009606550 |
| State | AL |
| Name | Role |
|---|---|
| WEEKS, JAMES CLAY JR | Incorporator |
| BRUISTER, CARROLL LAFAYETTE III | Incorporator |
| Name | Role |
|---|---|
| WEEKS, JAMES CLAY JR | Agent |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
