| Name: | 280 Medical Supply Inc |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Corporation |
| Status: | Exists |
| Date of registration: | 24 Oct 2002 (22 years ago) |
| Entity Number: | 000-225-681 |
| Register Number: | 000225681 |
| Historical Names: |
Birmingham Medical Alliance, Inc.
|
| ZIP code: | 35043 |
| County: | Shelby |
| Place of Formation: | Shelby County |
| Principal Address: | 11600 OLD HIGHWAY 280CHELSEA, AL 35043 |
| Registered Office Street Address: | 640 NARROWS POINT WAYBIRMINGHAM, AL 35242 |
| Authorized Capital: | 5,000 |
Activities
SELL PHARAMACEUTICALS
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942298740 | 2005-10-06 | 2021-06-23 | 11600 OLD HIGHWAY 280, CHELSEA, AL, 350433000, US | 11600 OLD HIGHWAY 280, CHELSEA, AL, 350433000, US | |||||||||||||||||||||||||||||||||||
|
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| Phone | +1 205-678-8755 |
| Fax | 8886118229 |
Authorized person
| Name | MS. GEORGIA A LAY |
| Role | PRESIDENT |
| Phone | 2056788755 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 652 |
| State | AL |
| Is Primary | Yes |
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| Is Primary | No |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 102569 |
| State | AL |
| Issuer | BCBS PROVIDER NUMBER |
| Number | 51512689 |
| State | AL |
| Name | Role | Address |
|---|---|---|
| LAY, GEORGIA | Agent | 11600 OLD HWY 280CHELSEA, AL 35043 |
| Name | Role | Address |
|---|---|---|
| LAY, GEORGIA | Incorporator | 11600 OLD HWY 280CHELSEA, AL 35043 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2013-10-11 | Name Change | Birmingham Medical Alliance, Inc. | 280 Medical Supply Inc |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
