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WHATCOM ASC, LLC

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Company Details

Legal Name: WHATCOM ASC, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: July 31st 2024
Expiration date: 31 Jul 2025
UBI Number: 605 591 653
ZIP code: 98226
City: Bellingham
County: WHATCOM
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 2075 BARKLEY BLVD STE 101, BELLINGHAM, WA, 98226-6734, UNITED STATES

Contact Details

E-Mail: SERVICECO@MPBA.COM

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
C T CORPORATION SYSTEM Registered Agent 711 CAPITOL WAY S STE 204, OLYMPIA, WA, 98501-1267, UNITED STATES

Key Officers & Management

Name Role Address
TROY SIMONSON Executor 805 MADISON ST STE 901, SEATTLE, WA, 98104-1172, UNITED STATES
PEGGY WELLMAN Governing Person -
PAUL HAEDER, MD Governing Person -
CHRISTOPHER VAN HOFWEGEN, MD Governing Person -
CHRIS SPILKER, MD Governing Person -

National Provider Identifier

NPI Number:
1164527933
Certification Date:
2025-01-06

Authorized Person:

Name:
MRS. PEGGY S. WELLMAN
Role:
CAO, BOARD MEMBER
Phone:

Taxonomy:

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

Contacts:

Fax:
3606710196
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