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Orthotic Center of West Alabama, Inc.

Details

Name: Orthotic Center of West Alabama, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 28 Sep 1998 (26 years ago)
Entity Number: 000-198-113
Register Number: 000198113
County: Tuscaloosa
Place of Formation: Tuscaloosa County
Principal Address: NORTHPORT, AL
Registered Office Street Address: 2705 HOSPITAL DRIVENORTHPORT, AL 35476
Registered Office Street Address ZIP Code: 35476
Authorized Capital: 1,000
Paid Share Capital: $200

Activities PROVIDING ORTHOTIC SERVICES TO CLIENTS/PATIENTS

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1568550168 2006-10-10 2020-08-22 945 MCFARLAND BLVD, NORTHPORT, AL, 354763374, US 945 MCFARLAND BLVD, NORTHPORT, AL, 354763374, US

Contacts
Phone +1 205-339-4900
Fax 2053394976

Authorized person
Name MR. JOHN TIMOTHY BUSH
Role OWNER-PRESIDENT
Phone 2053394900

Taxonomy
Taxonomy Code 335E00000X - Prosthetic/Orthotic Supplier
State AL
Is Primary Yes

Other Provider Identifiers
Issuer BC/BS
Number 510 70415
State AL

Agent

Name Role
BUSH, JOHN TIMOTHY Agent

Incorporator

Name Role
BUSH, JOHN TIMOTHY Incorporator
FREEMAN, ELLIS Incorporator

Awards

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
PO AWARD V679P81289 2007-11-27 2007-12-27 2007-12-27
Unique Award Key CONT_AWD_V679P81289_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title LARGE, DIABETIC SOCKS
Product and Service Codes 6530: HOSP FURNITURE,EQ,UTENSILS & SUP

Recipient Details
Recipient ORTHOTIC CENTER OF WEST ALABAMA, INC
UEI EJC1DCJ3LF41
Legacy DUNS 061133513
Recipient Address UNITED STATES, 945 MCFARLAND BLVD, NORTHPORT, 354763374
PO AWARD V679P81128 2007-11-19 2007-12-19 2007-12-19
Unique Award Key CONT_AWD_V679P81128_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title LARGE, DIABETIC SOCKS
Product and Service Codes 6530: HOSP FURNITURE,EQ,UTENSILS & SUP

Recipient Details
Recipient ORTHOTIC CENTER OF WEST ALABAMA, INC
UEI EJC1DCJ3LF41
Legacy DUNS 061133513
Recipient Address UNITED STATES, 945 MCFARLAND BLVD, NORTHPORT, 354763374
PO AWARD V679P81124 2007-11-19 2007-12-19 2007-12-19
Unique Award Key CONT_AWD_V679P81124_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title LARGE, DIABETIC SOCKS
Product and Service Codes 6530: HOSP FURNITURE,EQ,UTENSILS & SUP

Recipient Details
Recipient ORTHOTIC CENTER OF WEST ALABAMA, INC
UEI EJC1DCJ3LF41
Legacy DUNS 061133513
Recipient Address UNITED STATES, 945 MCFARLAND BLVD, NORTHPORT, 354763374
PO AWARD V679P80898 2007-11-05 2007-12-05 2007-12-05
Unique Award Key CONT_AWD_V679P80898_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title LARGE DIABETIC SOCKS
Product and Service Codes 6530: HOSP FURNITURE,EQ,UTENSILS & SUP

Recipient Details
Recipient ORTHOTIC CENTER OF WEST ALABAMA, INC
UEI EJC1DCJ3LF41
Legacy DUNS 061133513
Recipient Address UNITED STATES, 945 MCFARLAND BLVD, NORTHPORT, 354763374
PO AWARD V679PROSFY08061133513 2007-11-01 2008-09-24 2008-09-24
Unique Award Key CONT_AWD_V679PROSFY08061133513_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title PROSTHETICS EXPRESS REPORT FY 08
NAICS Code 423450: MEDICAL, DENTAL, AND HOSPITAL EQUIPMENT AND SUPPLIES MERCHANT WHOLESALERS
Product and Service Codes J065: MAINT-REP OF MEDICAL-DENTAL-VET EQ

Recipient Details
Recipient ORTHOTIC CENTER OF WEST ALABAMA, INC
UEI EJC1DCJ3LF41
Legacy DUNS 061133513
Recipient Address UNITED STATES, 945 MCFARLAND BLVD, NORTHPORT, 354763374
PO AWARD V679P80438 2007-10-17 2007-11-16 2007-11-16
Unique Award Key CONT_AWD_V679P80438_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title LARGE DIABETIC SOCKS
Product and Service Codes 6530: HOSP FURNITURE,EQ,UTENSILS & SUP

Recipient Details
Recipient ORTHOTIC CENTER OF WEST ALABAMA, INC
UEI EJC1DCJ3LF41
Legacy DUNS 061133513
Recipient Address UNITED STATES, 945 MCFARLAND BLVD, NORTHPORT, 354763374

Related by officers

FREEMAN, ELLIS

Orthotic Lab East, Inc.

Related by address

NORTHPORT, AL

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Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State

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