Name: | Medrental, Inc. |
Jurisdiction: | Alabama |
Legal type: | Domestic Corporation |
Status: | Exists |
Date of registration: | 04 Aug 1999 (25 years ago) (Companies founded in August 1999) |
Entity Number: | 000-204-268 |
Register Number: | 000204268 |
ZIP code: | 35466 (Companies in Pickens, 35466) |
County: | Pickens |
Place of Formation: | Pickens County |
Principal Address: | GORDO, AL |
Registered Office Street Address: | 25660 HWY 82GORDO, AL 35466 |
Authorized Capital: | $5,000 |
Paid Share Capital: | $5,000 |
Activities
MEDICAL EQUIPMENT SUPPLIES
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1699777219 | 2005-08-12 | 2014-08-12 | PO BOX 304, GORDO, AL, 354660304, US | 25660 HIGHWAY 82, GORDO, AL, 354662261, US | |||||||||||||||||||||||||||||||||||||
|
Phone | +1 205-364-9800 |
Fax | 2053641304 |
Authorized person
Name | MRS. SAMANTHA RAY DAVIS |
Role | SEC TREAS |
Phone | 2053649800 |
Taxonomy
Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
License Number | 403 |
State | AL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | MEDICAID |
Number | 009981640 |
State | AL |
Issuer | BLUECROSS BLUESHIELD |
Number | 51500370MED |
State | AL |
Issuer | MEDICAID |
Number | 00440925 |
State | MS |
Name | Role |
---|---|
POGUE, JOSEPH ZEB IV | Agent |
Name | Role |
---|---|
POGUE, JOSEPH ZEB IV | Incorporator |
Event Date | Event Type | Old Value | New Value |
---|---|---|---|
2004-08-13 | Capital Change | $1,000 Authorized $1,000 Paid In | $5,000 Authorized $5,000 Paid In |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State