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MEMORIAL HOSPITAL PHYSICIANS, P.C.

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Company Details

Legal Name: MEMORIAL HOSPITAL PHYSICIANS, P.C.
Jurisdiction: WASHINGTON
Entity Type: WA NONPROFIT PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Inactive
Formation/ Registration Date: February 2nd 2009
Date of Dissolution: December 11th 2015
Expiration date: 28 Feb 2011
UBI Number: 602 896 091
ZIP code: 98902
City: Yakima
County: YAKIMA
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 2811 TIETON DRIVE, YAKIMA, WA, 98902, UNITED STATES

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Key Officers & Management

Name Role Address
GREGORY SAWYER MD PHD Governing Person 2811 TIETON DR, YAKIMA, WA, 98902, UNITED STATES
ADRIENNE BENNETT MD Governing Person 2811 TIETON DR, YAKIMA, WA, 98902, UNITED STATES
JOHN VORNBROCK Governing Person 2811 TIETON DRIVE, YAKIMA, WA, 98902, UNITED STATES
ADRIENNE BENNETT Governing Person 2811 TIETON DRIVE, YAKIMA, WA, 98902, UNITED STATES

National Provider Identifier

NPI Number:
1134368442

Authorized Person:

Name:
MR. JIM W SIMMONS
Role:
CFO
Phone:

Taxonomy:

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

Contacts:

Fax:
5092495042
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