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Tri County Home Medical Equipment, LLC

Details

Name: Tri County Home Medical Equipment, LLC
Jurisdiction: Alabama
Legal type: Foreign Limited Liability Company
Status: Exists
Date of registration: 12 Jul 2000 (24 years ago) (Companies founded in July 2000)
Entity Number: 000-602-529
Register Number: 000602529
ZIP code: 36067 (Companies in Autauga, 36067)
County: Autauga
Place of Formation: Tennessee
Registered Office Street Address: 110 LINA DRPRATTVILLE, AL 36067
Principal Address: 1164 VICKERY LANE STE 102CORDOVA, TN 38018

Activities SALES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1346294501 2006-05-20 2008-06-20 PO BOX 2597, CORDOVA, TN, 380882597, US 2222 E SOUTH BLVD, MONTGOMERY, AL, 361162405, US

Contacts

Phone +1 901-507-2561
Fax 9015072569
Phone +1 334-288-1003
Fax 3342881220

Authorized person

Name MR. DAVID LEE BOWMAN
Role CHIEF MANAGER
Phone 9015072561

Taxonomy

Taxonomy Code 332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary Yes

Other Provider Identifiers

Issuer MEDICAID
Number 009903525
State AL

Agent

Name Role
HURST, JASON Agent

Date of last update: 14 Aug 2024

Sources: Alabama Secretary of State