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SAGEBRUSH HEALTH LLC

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Company Details

Legal Name: SAGEBRUSH HEALTH LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: September 22nd 2022
Expiration date: 30 Sep 2026
UBI Number: 604 974 357
ZIP code: 99354
City: Richland
County: BENTON
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 217 TORBETT ST STE 101, RICHLAND, WA, 99354-2667, UNITED STATES

Contact Details

E-Mail: PHERNANDEZ@SAGEBRUSHHEALTH.ORG
Phone Number: +1 509-427-1450

Nature of Business

Health Care, Social Assistance & Service Organization, FAMILY PRACTICE

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Registered Agent Information

Name Role Address
PATRICIA HERNANDEZ Registered Agent 217 TORBETT ST STE 101, RICHLAND, WA, 99354-2667, UNITED STATES

Key Officers & Management

Name Role Address
PATRICIA HERNANDEZ Executor 4207 MONTGOMERY LN, PASCO, WA, 99301-6019, UNITED STATES
NANCY ALDRICH Executor 3405 SOUTHLAKE DR, WEST RICHLAND, WA, 99353, UNITED STATES
PATRICIA HERNANDEZ Governing Person -

National Provider Identifier

NPI Number:
1245938356
Certification Date:
2024-05-28

Authorized Person:

Name:
REBECCA CANTU
Role:
CLINIC ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
5094204224
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