| Name: | Direct Pay Provider Network, LLC |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 16 Aug 2010 (14 years ago) (Companies founded in August 2010) |
| Entity Number: | 000-300-641 |
| Register Number: | 000300641 |
| ZIP code: | 36532 (Companies in Baldwin, 36532) |
| County: | Baldwin |
| Place of Formation: | Shelby County |
| Principal Mailing Address: | PO Box 1177Fairhope, AL 36533-1177 |
| Registered Office Street Address: | 4037 US HWY 231, SUITE AWETUMPKA, AL 36093 |
| Principal Address: | 210 Mershon StFairhope, AL 36532 |
Activities
A PREFERRED PROVIDER NETWORK OFFERING DISCOUNTED RATES TO PAYORS
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | Direct Pay Provider Network, LLC | 7148466 | New York |
| Headquarter of | Direct Pay Provider Network, LLC | 2864978 | CONNECTICUT |
| Headquarter of | Direct Pay Provider Network, LLC | 20238009228 | COLORADO |
| Headquarter of | Direct Pay Provider Network, LLC | 1311740 | KENTUCKY |
| Headquarter of | Direct Pay Provider Network, LLC | LLC_13734003 | ILLINOIS |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1003436254 | 2020-04-17 | 2020-04-17 | PO BOX 381866, BIRMINGHAM, AL, 352381866, US | 2700 CORPORATE DR STE 200, BIRMINGHAM, AL, 352422733, US | |||||||||||||||
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| Phone | +1 866-214-5920 |
| Fax | 8443256485 |
Authorized person
| Name | JASON WASHAM |
| Role | PROVIDER NETWORK MANAGER |
| Phone | 2053973096 |
Taxonomy
| Taxonomy Code | 171W00000X - Contractor |
| Is Primary | Yes |
| Name | Role |
|---|---|
| INCORP SERVICES, INC. | Agent |
| Name | Role | Address |
|---|---|---|
| WILLIAMS, PAUL | Member | 150 MALLARD POINT CIRCLEPELHAM, AL 35124 |
Date of last update: 02 Aug 2024
Sources: Alabama Secretary of State
