| Name: | DeltaMed, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 02 Oct 1996 (28 years ago) (Companies founded in October 1996) |
| Entity Number: | 000-182-683 |
| Register Number: | 000182683 |
| ZIP code: | 35210 (Companies in Jefferson, 35210) |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | BIRMINGHAM, AL |
| Registered Office Street Address: | 4500 MONTEVALLO RD STE E104BIRMINGHAM, AL 35210 |
| Authorized Capital: | 7500 |
Activities
SALE OF DURABLE MEDICAL EQUIPMENT
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1477610806 | 2007-01-03 | 2007-11-01 | 2767 BM MONTGOMERY ST, BIRMINGHAM, AL, 352091841, US | 2767 BM MONTGOMERY ST, BIRMINGHAM, AL, 352091841, US | |||||||||||||||||||||||||
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| Phone | +1 205-879-5155 |
| Fax | 2058791007 |
Authorized person
| Name | MR. GREG BAIRD |
| Role | PRESIDENT |
| Phone | 2058795155 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 493 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS PROVIDER NUMBER |
| Number | 51031674 |
| State | AL |
| Name | Role |
|---|---|
| MOORE, THOMAS ALLEN | Agent |
| Name | Role |
|---|---|
| MOORE, THOMAS ALLEN | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
