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CS PACS 3 NORTHWEST, LLC

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Company Details

Legal Name: CS PACS 3 NORTHWEST, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: July 20th 2023
Expiration date: 31 Jul 2026
UBI Number: 605 295 214
Home State: TENNESSEE
Principal Office Street Address: Google Maps Logo 265 BROOKVIEW CENTRE WAY STE 203, KNOXVILLE, TN, 37919-4052, UNITED STATES

Contact Details

E-Mail: KELLY_GREANEY@TEAMHEALTH.COM
Phone Number: +1 865-693-1000

Nature of Business

Administration & Business Support Services, BILLING SERVICES

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Registered Agent Information

Name Role
CORPORATION SERVICE COMPANY Registered Agent

Key Officers & Management

Name Role Address
JOHN R STAIR Governing Person -
JOHN BARRACK Governing Person -
LARA OWENS Governing Person -
DARREN SWENSON Governing Person -
CLARENCE SMITH Governing Person -
LIBBA ESTEP Governing Person -
JOHN R STAIR EXECUTOR 265 BROOKVIEW CENTRE WAY STE 203, KNOXVILLE, TN, 37919-4052, UNITED STATES

Links between entities

Type:
Headquarter of
Company Number:
20231804711
State:
COLORADO
Type:
Headquarter of
Company Number:
5360418
State:
IDAHO

National Provider Identifier

NPI Number:
1811752066
Certification Date:
2024-02-16

Authorized Person:

Name:
SANDRA BAKERINK
Role:
DIRECTOR, PROVIDER ENROLLMENT
Phone:

Taxonomy:

Selected Taxonomy:
208M00000X - Hospitalist Physician
Is Primary:
Yes

Contacts:

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