Name: | HealthMark Home Medical Equipment, Inc. |
Jurisdiction: | Alabama |
Legal type: | Domestic Corporation |
Status: | Exists |
Date of registration: | 30 May 1997 (27 years ago) |
Entity Number: | 000-188-067 |
Register Number: | 000188067 |
County: | Dallas |
Place of Formation: | Montgomery County |
Registered Office Street Address: | 425 SOUTH PERRY STREETMONTGOMERY, AL 36104 |
Registered Office Street Address ZIP Code: | 36104 |
Principal Address: | 1523 COUNTY ROAD 230SELMA, AL 36701 |
Principal Address ZIP Code: | 36701 |
Authorized Capital: | $10 |
Activities
ANY LAWFUL BUSINESS
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1851308845 | 2006-08-02 | 2013-07-24 | PO BOX 853, SELMA, AL, 367020853, US | 2918 CITIZENS PKWY, SELMA, AL, 36701, US | |||||||||||||||||||||
|
Phone | +1 334-418-0085 |
Fax | 3344184719 |
Authorized person
Name | MRS. LISA JONES SURRETT |
Role | ADMINISTRATIVE TECH |
Phone | 3344180085 |
Taxonomy
Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 009710160 |
State | AL |
Name | Role |
---|---|
STORY, MARK ALLEN | Agent |
Name | Role |
---|---|
STORY, MARK ALLEN | Incorporator |
STORY, REGINA LEE | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State