| Name: | Durable Medical Equipment, Inc. |
| Jurisdiction: | Alabama |
| Legal type: | Foreign Corporation |
| Status: | Exists |
| Date of registration: | 25 May 2001 (24 years ago) |
| Entity Number: | 000-057-055 |
| Register Number: | 000057055 |
| ZIP code: | 36264 |
| County: | Cleburne |
| Place of Formation: | Georgia |
| Principal Address: | 100 MOOTY BRIDGE RDLAGRANGE, GA 30240 |
| Registered Office Street Address: | 31 CTY RD 43HEFLIN, AL 36264 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134180581 | 2006-03-28 | 2014-08-15 | 978 ROSS ST, HEFLIN, AL, 362641164, US | 978 ROSS ST, HEFLIN, AL, 362641164, US | |||||||||||||||||||||||||||||
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| Phone | +1 256-463-2412 |
| Fax | 2564631883 |
Authorized person
| Name | THOMAS E BECKHAM |
| Role | EXECUTIVE VICE PRESIDENT |
| Phone | 2564632412 |
Taxonomy
| Taxonomy Code | 332BX2000X - Oxygen Equipment & Supplies (DME) |
| Is Primary | Yes |
| Taxonomy Code | 335E00000X - Prosthetic/Orthotic Supplier |
| License Number | C19509 |
| State | GA |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 610728650C |
| State | GA |
| Name | Role |
|---|---|
| DUKE, TANYA | Agent |
Date of last update: 31 Jul 2024
Sources: Alabama Secretary of State
