| Name: | Southern Medical & Mobility, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 19 Mar 2002 (23 years ago) |
| Entity Number: | 000-221-824 |
| Register Number: | 000221824 |
| County: | Mobile |
| Place of Formation: | Mobile County |
| Principal Address: | MOBILE, AL |
| Registered Office Street Address: | 1416 WEST I 65 SERVICE RD SOUTHMOBILE, AL 36693 |
| Registered Office Street Address ZIP Code: | 36693 |
| Authorized Capital: | 10 |
Activities
SELL/RENT DURABLE MEDICAL EQUIPMENT/SUPPLIES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518951599 | 2005-09-07 | 2009-11-20 | 1416 W I65 SERVICE RD S, MOBILE, AL, 366935100, US | 1416 W I65 SERVICE RD S, MOBILE, AL, 366935100, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 251-633-4133 |
| Fax | 2516334575 |
Authorized person
| Name | MR. HAROLD FREDERICK COMPTON JR. |
| Role | CEO/PRESIDENT |
| Phone | 2516334133 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 490041319 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 009987760 |
| State | AL |
| Issuer | BLUE CROSS ALABAMA |
| Number | 51507156 |
| State | AL |
| Issuer | PRIME HEALTH |
| Number | 950633 |
| State | AL |
| Issuer | MEDICAID |
| Number | 02726271 |
| State | MS |
| Issuer | HEALTHSPRING/SENIORS FIRS |
| Number | 1230240 |
| State | AL |
| Issuer | MEDICAID OF LA. |
| Number | 1640450 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| HOLLAND, STACEY W | Incorporator | 15250 BROWN LOOP ROAD NWILMER, AL 36587 |
| Name | Role |
|---|---|
| COMPTON, HAL JR | Agent |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2009-05-11 | Name Merged | No data | SOUTHERN MEDICAL ACQUISITION, INC. Non-Qualified Foreign Into Domestic |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
