| Name: | Tri-State Medical Supplies, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Dissolved |
| Date of registration: | 10 Jul 2003 (21 years ago) (Companies founded in July 2003) |
| Date of dissolution: | 08 Dec 2010 |
| Entity Number: | 000-229-884 |
| Register Number: | 000229884 |
| ZIP code: | 36345 (Companies in Henry, 36345) |
| County: | Henry |
| Place of Formation: | Henry County |
| Principal Address: | HEADLAND, AL |
| Registered Office Street Address: | 109 MULBERRY LNHEADLAND, AL 36345 |
| Authorized Capital: | $1,000 |
Activities
OPERATE A MEDICAL SUPPLY COMPANY
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1336107572 | 2006-05-03 | 2008-06-17 | PO BOX 1032, DOTHAN, AL, 363021032, US | 545 W MAIN ST, SUITE 305, DOTHAN, AL, 363011654, US | |||||||||||||||||||||||||||
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| Phone | +1 334-671-3035 |
| Fax | 3346711195 |
Authorized person
| Name | MS. INGRID DIONE TRAWICK |
| Role | PRESIDENT |
| Phone | 3346713035 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 009944675 |
| State | AL |
| Issuer | 51516630 |
| Number | BCBS |
| State | AL |
| Name | Role | Address |
|---|---|---|
| BINION, CALVIN | Agent | 1619 SANDSTONE CTMONTGOMERY, AL 36117 |
| Name | Role | Address |
|---|---|---|
| BINION, CALVIN | Incorporator | 1619 SANDSTONE CTMONTGOMERY, AL 36117 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
