| Name: | Jett Medical Co., L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 18 Jun 2003 (21 years ago) (Companies founded in June 2003) |
| Entity Number: | 000-690-986 |
| Register Number: | 000690986 |
| ZIP code: | 35022 (Companies in Jefferson, 35022) |
| County: | Jefferson |
| Place of Formation: | Shelby County |
| Registered Office Street Address: | 1209 LAKE DRIVE SE, SUITE 111BESSEMER, AL 35022 |
| Registered Office Mailing Address: | PO BOX 360595HOOVER, AL 35244 |
Activities
WHOLESALE MEDICAL EQUIPMENT/SUPPLIES
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073730602 | 2007-04-18 | 2021-03-12 | PO BOX 43566, BIRMINGHAM, AL, 352430566, US | 1209 LAKE DR SE STE 111, BESSEMER, AL, 350226488, US | |||||||||||||||||||||||||||
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| Phone | +1 205-678-8807 |
| Phone | +1 205-561-9572 |
| Fax | 2054819345 |
Authorized person
| Name | MR. DONNIE J BARGER |
| Role | OWNER |
| Phone | 2054819344 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 585 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS |
| Number | 51526611 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| BARGER, DONNIE JOE | Agent | 1209 LAKE DRIVE SE, SUITE 111BESSEMER, AL 35022 |
| Name | Role | Address |
|---|---|---|
| BARGER, DONNIE JOE | Member | 1209 LAKE DRIVE SE, SUITE 111BESSEMER, AL 35022 |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
