| Name: | Medical Supplies, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 11 Feb 1999 (26 years ago) |
| Entity Number: | 000-663-253 |
| Register Number: | 000663253 |
| County: | Geneva |
| Place of Formation: | Geneva County |
| Principal Address: | SLOCOMB, AL |
| Registered Office Street Address: | 135 SOUTH DALTON STSLOCOMB, AL 36375 |
| Registered Office Street Address ZIP Code: | 36375 |
Activities
PROVIDING DURABLE MEDICAL EQUIPMENT
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861685414 | 2007-08-27 | 2007-08-27 | 135 S DALTON ST, P.O. BOX 580, SLOCOMB, AL, 363755483, US | 135 S DALTON ST, SLOCOMB, AL, 363755483, US | |||||||||||||||||||||||||||||||||
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| Phone | +1 334-886-9111 |
| Fax | 3348869255 |
Authorized person
| Name | MR. JAMES ANTHONY EUBANKS SR. |
| Role | OWNER |
| Phone | 3348869111 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 129 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| License Number | 129 |
| State | AL |
| Is Primary | No |
Other Provider Identifiers
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 51034246 |
| State | AL |
| Name | Role |
|---|---|
| EUBANKS, JAMES ANTHONY SR | Member |
| Name | Role |
|---|---|
| EUBANKS, JAMES ANTHONY JR | Agent |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
