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Beacon Respiratory Services of Alabama, Inc.

Details

Name: Beacon Respiratory Services of Alabama, Inc.
Jurisdiction: Alabama
Legal type: Foreign Corporation
Status: Exists
Date of registration: 14 Dec 2001 (23 years ago) (Companies founded in December 2001)
Entity Number: 000-921-108
Register Number: 000921108
ZIP code: 36104 (Companies in Montgomery, 36104)
County: Montgomery
Place of Formation: Delaware
Principal Address: 1614 LAKESIDE DRORLANDO, FL 32803-1508
Registered Office Street Address: 2 NORTH JACKSON ST., SUITE 605MONTGOMERY, AL 36104

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1356369359 2006-07-17 2007-07-12 26777 CENTRAL PARK BLVD, SUITE 200, SOUTHFIELD, MI, 480764162, US 3592 LORNARIDGE DR, HOOVER, AL, 352165247, US

Contacts

Phone +1 248-352-7530
Fax 2483525189
Phone +1 205-978-3283
Fax 2029783283

Authorized person

Name CATHY SPARLING
Role VP ADMINISTRATIVE SERVICES
Phone 2483527530

Taxonomy

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

Other Provider Identifiers

Issuer MEDICAID
Number 9982840
State AL

Agent

Name Role Address
C T CORPORATION SYSTEM Agent 2 NORHT JACKSON STREET SUITE 605MONTGOMERY, AL 36104

Date of last update: 16 Aug 2024

Sources: Alabama Secretary of State