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Prehab, Inc.

Details

Name: Prehab, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 11 Jul 1997 (27 years ago) (Companies founded in July 1997)
Entity Number: 000-189-051
Register Number: 000189051
ZIP code: 36117 (Companies in Montgomery, 36117)
County: Montgomery
Place of Formation: Montgomery County
Registered Office Street Address: 8355 CROSSLAND LOOPMONTGOMERY, AL 36117
Authorized Capital: $1,000

Activities ANY LAWFUL ACTIVITY

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1609812411 2006-06-21 2021-03-31 POST OFFICE BOX 240698, MONTGOMERY, AL, 361240698, US 8355 CROSSLAND LOOP, MONTGOMERY, AL, 361178483, US

Contacts

Phone +1 334-270-1630
Fax 8778778383

Authorized person

Name DOUGLAS L STINSON
Role OWNER
Phone 3342701630

Taxonomy

Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
License Number 502
State AL
Is Primary Yes

Other Provider Identifiers

Issuer BLUE CROSS PROVIDER #
Number 051008224
State AL
Issuer MEDICAID
Number IN009927585
State AL

Agent

Name Role
THEODORE E. BRIDGES Agent

Incorporator

Name Role Address
TATE, ROBERT Incorporator 8355 CROSSLAND LOOPMONTGOMERY, AL 36117

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State