Direct Pay Provider Network, LLC

Headquarter

Details

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)
Entity Number:	000-300-641
Register Number:	000300641
ZIP code:	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, MISSISSIPPI	1413089	MISSISSIPPI
Headquarter of	Direct Pay Provider Network, LLC, New York	7148466	New York
Headquarter of	Direct Pay Provider Network, LLC, KENTUCKY	1311740	KENTUCKY
Headquarter of	Direct Pay Provider Network, LLC, FLORIDA	M23000013230	FLORIDA
Headquarter of	Direct Pay Provider Network, LLC, COLORADO	20238009228	COLORADO
Headquarter of	Direct Pay Provider Network, LLC, CONNECTICUT	2864978	CONNECTICUT
Headquarter of	Direct Pay Provider Network, LLC, ILLINOIS	LLC_13734003	ILLINOIS

NPI

Enumeration Date

Last Update Date

Mailing Address

Practice Location Address

1003436254

2020-04-17

PO BOX 381866, BIRMINGHAM, AL, 352381866, US

2700 CORPORATE DR STE 200, BIRMINGHAM, AL, 352422733, US

Contacts

Phone	+1 866-214-5920
Fax	8443256485

Authorized person

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