| Name: | Marble City Health and Infusion Services LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 28 Nov 2012 (12 years ago) (Companies founded in November 2012) |
| Entity Number: | 000-270-539 |
| Register Number: | 000270539 |
| Historical Names: |
Marble City Vital Care, LLC
|
| ZIP code: | 35950 (Companies in Marshall, 35950) |
| County: | Marshall |
| Place of Formation: | Talladega County |
| Registered Office Street Address: | 305 NORTH CARLISLE STREETALBERTVILLE, AL 35950 |
Activities
SALE OF DURABLE MEDICAL EQUIPMENT & RELATED SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1568800217 | 2013-06-04 | 2019-12-09 | 416 N SEMINARY ST STE 1400, FLORENCE, AL, 356304688, US | 416 N SEMINARY ST STE 1400, FLORENCE, AL, 356304688, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|
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| Phone | +1 256-740-3999 |
| Fax | 2562454678 |
Authorized person
| Name | STEVEN P BRINDLEY |
| Role | OWNER |
| Phone | 2567403999 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 114167 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 332BP3500X - Parenteral & Enteral Nutrition Supplies (DME) |
| License Number | 114167 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | 114167 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 3336C0004X - Compounding Pharmacy |
| License Number | 114167 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 3336H0001X - Home Infusion Therapy Pharmacy |
| License Number | 114167 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NSC |
| Number | 6982160001 |
| State | AL |
| Issuer | MEDICAID |
| Number | 151372 |
| State | AL |
| Name | Role |
|---|---|
| BRINDLEY, STEVEN | Agent |
| Name | Role | Address |
|---|---|---|
| JOHNSON, JACOB | Organizer | 1864 Waterfall RdAuburn, AL 36830 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2013-08-01 | Name Change | Marble City Vital Care, LLC | Marble City Health and Infusion Services LLC |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
