| Name: | CHAMPION MEDICAL SERVICES LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 16 Jan 2014 (11 years ago) |
| Entity Number: | 000-295-103 |
| Register Number: | 000295103 |
| Historical Names: |
CHAMPION MEDICAL SERVICES, Inc
|
| ZIP code: | 35205 |
| County: | Jefferson |
| Place of Formation: | Jefferson County |
| Principal Address: | 1731 13TH COURT SOUTHBIRMINGHAM, AL 35205 |
Activities
HEALTHCARE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1497291173 | 2017-01-18 | 2017-01-18 | 2550 FIVE STAR PKWY STE 112, BESSEMER, AL, 350223313, US | 2550 FIVE STAR PKWY STE 112, BESSEMER, AL, 350223313, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 205-224-9494 |
Authorized person
| Name | MR. HUBERT TONY NZERIBE |
| Role | ADMINISTRATOR |
| Phone | 2052249494 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 2550FS |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | HBASIS |
| Number | 2550FS |
| State | AL |
| Name | Role |
|---|---|
| NZERIBE, HUBERT T | Agent |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2017-03-23 | Name Change | CHAMPION MEDICAL SERVICES, Inc | CHAMPION MEDICAL SERVICES LLC |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
