Name: | Medico, Inc. |
Jurisdiction: | Alabama |
Legal type: | Domestic Corporation |
Status: | Exists |
Date of registration: | 21 Apr 1997 (28 years ago) (Companies founded in April 1997) |
Entity Number: | 000-186-985 |
Register Number: | 000186985 |
ZIP code: | 35045 (Companies in Chilton, 35045) |
County: | Chilton |
Place of Formation: | Chilton County |
Principal Address: | CLANTON, AL |
Registered Office Street Address: | 111 6TH STREET NORTHCLANTON, AL 35045 |
Authorized Capital: | 100 |
Activities
PROVIDING DURABLE MEDICAL EQUIPMENT TO THE PUBLIC AND ACTIVITIES
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1295756070 | 2006-07-21 | 2022-11-22 | 804 7TH ST N STE C, CLANTON, AL, 350452870, US | 804 7TH ST N STE C, CLANTON, AL, 350452870, US | |||||||||||||||||||||||||||||||
|
Phone | +1 205-280-3700 |
Fax | 2052803777 |
Authorized person
Name | MRS. OVENIA F. HOWARD |
Role | PART OWNER |
Phone | 2056462864 |
Taxonomy
Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
License Number | 194 |
State | AL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | BLUE CROSS BLUE SHIELD |
Number | 510-30030 |
State | AL |
Issuer | MEDICAID |
Number | 000030030 |
State | AL |
Name | Role | Address |
---|---|---|
ROBERSON, ANDY | Agent | 116 6TH ST NCLANTON, AL 35045 |
Name | Role | Address |
---|---|---|
ROBERSON, ANDY | Incorporator | 116 6TH ST NCLANTON, AL 35045 |
HOWARD, OVENIA | Incorporator | No data |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State