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Garlock Enterprises, Inc.

Details

Name: Garlock Enterprises, Inc.
Jurisdiction: Alabama
Legal type: Domestic Corporation
Status: Exists
Date of registration: 19 Oct 1999 (25 years ago) (Companies founded in October 1999)
Entity Number: 000-205-773
Register Number: 000205773
ZIP code: 36104 (Companies in Montgomery, 36104)
County: Montgomery
Place of Formation: Butler County
Principal Address: GREENVILLE, AL
Registered Office Street Address: 2 NORTH JACKSON STREET, SUITE 605MONTGOMERY, AL 36104
Authorized Capital: $100

Activities AMBULANCE SERVICE

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1679572598 2005-07-21 2023-08-17 29 LV STABLER DRIVE, GREENVILLE, AL, 36037, US 108 LV STABLER DRIVE, GREENVILLE, AL, 36037, US

Contacts

Phone +1 334-383-9894
Fax 3343832221
Phone +1 334-383-9908

Authorized person

Name MRS. JORICA MARIE PEAVY
Role BILLER
Phone 3343839894

Taxonomy

Taxonomy Code 3416L0300X - Land Ambulance
License Number 786
State AL
Is Primary Yes

Other Provider Identifiers

Issuer RAILROAD MEDICARE
Number 590013557
State AR
Issuer RAILROAD MEDICARE
Number 590013557
State AL
Issuer MEDICAID
Number 000022277
State AL
Issuer MEDICAID
Number 1679572598
State AL

Agent

Name Role Address
C T CORPORATION SYSTEM Agent 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104

Incorporator

Name Role
GARLOCK, LISA Incorporator

Date of last update: 01 Aug 2024

Sources: Alabama Secretary of State