| Name: | Baptist Home Medical Services, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Limited Liability Company |
| Status: | Exists |
| Date of registration: | 19 Oct 1998 (26 years ago) (Companies founded in October 1998) |
| Entity Number: | 000-605-381 |
| Register Number: | 000605381 |
| ZIP code: | 35205 (Companies in Jefferson, 35205) |
| County: | Jefferson |
| Place of Formation: | Mississippi |
| Principal Address: | 450 10TH AVE S RM 102BIRMINGHAM, AL 35205 |
| Registered Office Street Address: | 406 MED CENTER DRJASPER, AL 35501 |
Activities
SALE/SERVICE OF HOME MEDICAL EQUIPMENT AND RELATED SERVICES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1215913934 | 2005-12-15 | 2020-08-22 | 406 MEDICAL CENTER DR, JASPER, AL, 355013400, US | 452 10TH AVE S, SUITE 102, BIRMINGHAM, AL, 352054500, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 205-221-8200 |
| Fax | 2052218270 |
| Phone | +1 205-714-6050 |
| Fax | 2057146085 |
Authorized person
| Name | MR. STEWART H PACE |
| Role | PRESIDENT, BOARD OF MANAGERS |
| Phone | 2054147525 |
Taxonomy
| Taxonomy Code | 333600000X - Pharmacy |
| License Number | 112324 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 00440604 |
| State | MS |
| Issuer | MEDICAID |
| Number | 00440609 |
| State | MS |
| Name | Role |
|---|---|
| MERRICK, WILLIAM | Agent |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
