NPI 1003436254

Direct Pay Provider Network LLC

Organisation Contractor Birmingham, AL

Practice location

Address: 2700 Corporate Dr STE 200, Birmingham, AL 35242-2733
Phone: (866) 214-5920
Fax: (844) 325-6485
Mailing address: PO Box 381866, Birmingham, AL 35238-1866

Authorised official

Name: Jason Washam
Title: Provider Network Manager
Phone: (205) 397-3096

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1003436254
Entity type: Organization
NPI issued: 17 Apr 2020
Record last updated: 17 Apr 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.