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CAPITAL MEDICAL CENTER SPECIALTY PHYSICIANS, LLC

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Company Details

Legal Name: CAPITAL MEDICAL CENTER SPECIALTY PHYSICIANS, LLC
Jurisdiction: WASHINGTON
Entity Type: FOREIGN LIMITED LIABILITY COMPANY
Category: FOREIGN ENTITY
Status: Active
Formation/ Registration Date: October 27th 2017
Expiration date: 31 Oct 2025
UBI Number: 603 050 768
ZIP code: 98502
City: Olympia
County: THURSTON
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 3900 CAPITAL MALL DR SW, OLYMPIA, WA, 98502, UNITED STATES

Contact Details

E-Mail: CLS-CTARMSEVIDENCE@WOLTERSKLUWER.COM

Nature of Business

HEALTHCARE

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Registered Agent Information

Name Role
C T CORPORATION SYSTEM Registered Agent

Key Officers & Management

Name Role Address
WILLIAM CALLICOAT Governing Person 118 W EDWARDS ST STE 200, SPRINGFIELD, IL, 62704-1927, UNITED STATES
DAVID O'BRIEN, M.D. Governing Person 118 W EDWARDS ST STE 200, SPRINGFIELD, IL, 62704-1927, UNITED STATES
BILL KRIEGSMAN Governing Person 118 W EDWARDS ST STE 200, SPRINGFIELD, IL, 62704-1927, UNITED STATES
MULTICARE HEALTH SYSTEM Governing Person -

National Provider Identifier

NPI Number:
1760785281
Certification Date:
2022-09-14

Authorized Person:

Name:
WILLIAM GLENN ROBERTSON
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
208800000X - Urology Physician
Is Primary:
No
Selected Taxonomy:
208M00000X - Hospitalist Physician
Is Primary:
No
Selected Taxonomy:
2083X0100X - Occupational Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
3607044751
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