| Name: | Ashford Medical, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Dissolved |
| Date of registration: | 16 Dec 1999 (25 years ago) |
| Date of dissolution: | 26 Feb 2013 |
| Entity Number: | 000-206-782 |
| Register Number: | 000206782 |
| County: | Houston |
| Place of Formation: | Houston County |
| Principal Address: | ASHFORD, AL |
| Registered Office Street Address: | 430 BROADWAY STREETASHFORD, AL 36312 |
| Registered Office Street Address ZIP Code: | 36312 |
| Authorized Capital: | $1,200 |
Activities
SELL/MANUFACTURE/LEASE/MEDICAL EQUIPMENT/SUPPLIES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1164421194 | 2005-07-20 | 2011-03-10 | PO BOX 367, ASHFORD, AL, 363120367, US | 1860 OLD HWY 84, SUITE 1, ASHFORD, AL, 363124318, US | |||||||||||||||||||||||||
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| Phone | +1 334-899-8662 |
| Fax | 3348997029 |
Authorized person
| Name | MR. WILLIAM MARVIN COOK SR. |
| Role | OWNER |
| Phone | 3348998662 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 0072768 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 009980090 |
| State | AL |
| Name | Role |
|---|---|
| COOK, W MARVIN | Agent |
| Name | Role |
|---|---|
| COOK, W MARVIN | Incorporator |
Date of last update: 01 Aug 2024
Sources: Alabama Secretary of State
