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PEACEHEALTH ASC BELLINGHAM, LLC

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Company Details

Legal Name: PEACEHEALTH ASC BELLINGHAM, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: November 18th 2019
Expiration date: 30 Nov 2025
UBI Number: 604 538 152
ZIP code: 98225
City: Bellingham
County: WHATCOM
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 3009 SQUALICUM PKWY, BELLINGHAM, WA, 98225-1939, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 1115 SE 164TH AVE DEPT 302, VANCOUVER, WA, 98683-8002, UNITED STATES

Contact Details

E-Mail: ALFETSCH@PEACEHEALTH.ORG
Phone Number: +1 360-729-2497

Nature of Business

AMBULATORY SURGERY CENTER

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Registered Agent Information

Name Role Address
TOM KARNES Registered Agent 1115 SE 164TH AVE DEPT 302, VANCOUVER, WA, 98683-8002, UNITED STATES

Key Officers & Management

Name Role
HEALTH VENTURES Executor
MIKE DWYER Governing Person

National Provider Identifier

NPI Number:
1962181289
Certification Date:
2023-09-20

Authorized Person:

Name:
JEFFREY SEIRER
Role:
SYS VP FIN INTEGRIT/CONTROLLER
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

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