Prattville Medical Equipment Inc.

Details

Name:	Prattville Medical Equipment Inc.
Jurisdiction:	Alabama
Legal type:	Domestic Corporation
Status:	Exists
Date of registration:	24 Mar 2008 (17 years ago)
Entity Number:	000-256-673
Register Number:	000256673
County:	Autauga
Place of Formation:	Montgomery County
Registered Office Street Address:	711 MCQUEEN SMITH ROAD SOUTHPRATTVILLE, AL 36066
Registered Office Street Address ZIP Code:	36066
Registered Office Mailing Address:	2 NORTH JACKSON STREET SUITE 605MONTGOMERY, AL 36104
Registered Office Mailing Address ZIP Code:	36104
Authorized Capital:	100

Activities MEDICAL SUPPLY SALES

National Provider Identifier

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1427215508

2008-05-17

2019-07-03

3325 BARTLETT BLVD, ORLANDO, FL, 328116428, US

466 E MAIN ST, PRATTVILLE, AL, 360673420, US

Contacts

Phone	+1 407-206-0040
Fax	4072060010
Phone	+1 334-358-7500
Fax	3343580555

Authorized person

Name	MR. STEPHEN P GRIGGS
Role	CEO, PRESIDENT
Phone	4072060040

Taxonomy

Taxonomy Code	332BX2000X - Oxygen Equipment & Supplies (DME)
License Number	082178
State	AL
Is Primary	Yes

Other Provider Identifiers

Issuer	BCBS OF ALABAMA
Number	51099618
State	AL

form 5500

Plan Name

Plan Year

EIN/PN

Received

Sponsor

Total number of participants

PRATTVILLE MEDICAL EQUIPMENT, INC. 401(K) PROFIT SHARING PLAN

2019

262284588

2020-03-04

PRATTVILLE MEDICAL EQUIPMENT, INC.

23

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	446190
Sponsor’s telephone number	3343587500
Plan sponsor’s address	466 EAST MAIN STREET, PRATTVILLE, AL, 36067

PRATTVILLE MEDICAL EQUIPMENT, INC. 401(K) PROFIT SHARING PLAN

2019

262284588

2020-09-28

PRATTVILLE MEDICAL EQUIPMENT, INC.

21

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	446190
Sponsor’s telephone number	3343587500
Plan sponsor’s address	466 EAST MAIN STREET, PRATTVILLE, AL, 36067

PRATTVILLE MEDICAL EQUIPMENT, INC. 401(K) PROFIT SHARING PLAN

2018

262284588

2019-07-19

PRATTVILLE MEDICAL EQUIPMENT, INC.

27

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	446190
Sponsor’s telephone number	3343587500
Plan sponsor’s address	466 EAST MAIN STREET, PRATTVILLE, AL, 36067

PRATTVILLE MEDICAL EQUIPMENT, INC. 401(K) PROFIT SHARING PLAN

2017

262284588

2018-08-24

PRATTVILLE MEDICAL EQUIPMENT, INC.

28

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	446190
Sponsor’s telephone number	3343587500
Plan sponsor’s address	466 EAST MAIN STREET, PRATTVILLE, AL, 36067

PRATTVILLE MEDICAL EQUIPMENT, INC. 401(K) PROFIT SHARING PLAN

2016

262284588

2017-09-27

PRATTVILLE MEDICAL EQUIPMENT, INC.

21

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	446190
Sponsor’s telephone number	3343587500
Plan sponsor’s address	466 EAST MAIN STREET, PRATTVILLE, AL, 36067

PRATTVILLE MEDICAL EQUIPMENT, INC. 401(K) PROFIT SHARING PLAN

2015

262284588

2016-09-21

PRATTVILLE MEDICAL EQUIPMENT, INC.

15

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	446190
Sponsor’s telephone number	3343587500
Plan sponsor’s address	466 EAST MAIN STREET, PRATTVILLE, AL, 36067

PRATTVILLE MEDICAL EQUIPMENT, INC. 401(K) PROFIT SHARING PLAN

2014

262284588

2015-08-20

PRATTVILLE MEDICAL EQUIPMENT, INC.

14

File	View Page
Three-digit plan number (PN)	001
Effective date of plan	2014-01-01
Business code	446190
Sponsor’s telephone number	3343587500
Plan sponsor’s address	466 EAST MAIN STREET, PRATTVILLE, AL, 36067

Incorporator

Name	Role	Address
GALLO, EILEEN	Incorporator	101 N BRAND BLVD 11TH FLOORGLENDALE, CA 91203

Agent

Name	Role
CLEVELAND & RIDDLE ATTYS AT LAW LLC	Agent

Date of last update: 02 Aug 2024

Sources: Alabama Secretary of State