Name: | Choice Medical, Inc. |
Jurisdiction: | Alabama |
Legal type: | Domestic Corporation |
Status: | Exists |
Date of registration: | 03 Feb 2004 (21 years ago) |
Entity Number: | 000-233-530 |
Register Number: | 000233530 |
County: | Cullman |
Place of Formation: | Cullman County |
Principal Address: | CULLMAN, AL |
Registered Office Street Address: | 247 CO RD 109CULLMAN, AL 35057 |
Registered Office Street Address ZIP Code: | 35057 |
Authorized Capital: | $100 |
Activities
PROVIDE MEDICAL EQUIPMENT
NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1467486639 | 2006-07-11 | 2020-08-22 | 189 SMOKE RISE TRL, WARRIOR, AL, 351804295, US | 189 SMOKE RISE TRL, WARRIOR, AL, 351804295, US | |||||||||||||||||||||||||
|
Phone | +1 205-647-1965 |
Fax | 2056471966 |
Authorized person
Name | MRS. KENETHA NICOLE BARNES |
Role | PRESIDENT |
Phone | 2056471965 |
Taxonomy
Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
License Number | 619 |
State | AL |
Is Primary | Yes |
Other Provider Identifiers
Issuer | BLUE CROSS DME PROVIDER |
Number | 51520958 |
State | AL |
Name | Role |
---|---|
HALLMARK, WANDA | Agent |
Name | Role |
---|---|
HALLMARK, WANDA G | Incorporator |
BARNES, KENETHA N | Incorporator |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State