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BEEZLEY SPRINGS INPATIENT SERVICES, LLC

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Company Details

Legal Name: BEEZLEY SPRINGS INPATIENT SERVICES, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: November 5th 2013
Expiration date: 30 Nov 2025
UBI Number: 603 346 525
Home State: TENNESSEE
Principal Office Street Address: Google Maps Logo 20 BURTON HILLS BLVD, STE 500, NASHVILLE, TN, 37215-6176, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $806

Contact Details

E-Mail: COMPLIANCEMAIL@CSCGLOBAL.COM

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role
CORPORATION SERVICE COMPANY Registered Agent

Key Officers & Management

Name Role Address
MARK JEFFREY SLEPIN MD Governing Person -
WASHINGTON EMERGENCY ROOM SERVICES, P.C. Governing Person -
CRAIG WILSON EXECUTOR 6200 S SYRACUSE WY STE 200, GREENWOOD VILLAGE, CO, 80111, UNITED STATES

National Provider Identifier

NPI Number:
1932481223
Certification Date:
2019-12-09

Authorized Person:

Name:
DR. CHARLES T. MITCHELL
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
208M00000X - Hospitalist Physician
Is Primary:
No
Selected Taxonomy:
207P00000X - Emergency Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
5097546569
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