| Entity Name: | NATIONAL PROVIDER CREDENTIALING SERVICE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Profit |
| Status: | Inactive |
| Date Filed: | 06 Apr 2000 (25 years ago) |
| Document Number: | F00000001998 |
| FEI/EIN Number | 541777843 |
| Address: | 3025 BRECKINRIDGE BLVD, DULUTH, GA, 30096 |
| Mail Address: | 3025 BRECKINRIDGE BLVD, DULUTH, GA, 30096 |
| Place of Formation: | VIRGINIA |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Agent |
| Name | Role | Address |
|---|---|---|
| GRIMES DARRELL O | President | 3025 BRECKINRIDGE BLVD., DULUTH, GA, 30096 |
| Name | Role | Address |
|---|---|---|
| ALLEN MARILYN J | Secretary | 3525 PIEDMONT RD., BLDG 8., STE 600, ATLANTA, GA, 30305 |
| Name | Role | Address |
|---|---|---|
| HAMMETT MARC D | Treasurer | 3525 PIEDMONT RD., BLDG 8., STE 600, ATLANTA, GA, 30305 |
| Name | Role | Address |
|---|---|---|
| VANDIVER ROY W | Chairman | 3525 PIEDMONT RD., BLDG 8., STE 600, ATLANTA, GA, 30305 |
| Name | Role | Address |
|---|---|---|
| COLLINS WILLIAM C | Director | 6000 WINTERTHUR DR., NW, ATLANTA, GA, 30328 |
| DELOACH E. DANIEL O | Director | 4750 WATERS AVE., SUITE 500, SAVANNAH, GA, 31404 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REVOKED FOR ANNUAL REPORT | 2002-10-04 | No data | No data |
Date of last update: 03 Jan 2025
Sources: Florida Department of State
