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BUFFALO TRAIL INPATIENT SERVICES, INC

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Company Details

Name: BUFFALO TRAIL INPATIENT SERVICES, INC
Legal type: Kentucky Limited Liability Company
Status: Inactive
Standing: Good
Profit or Non-Profit: Profit
File Date: 20 May 2013 (12 years ago)
Organization Date: 20 May 2013 (12 years ago)
Last Annual Report: 25 Jun 2024 (a year ago)
Managed By: Managers
Organization Number: 0858063
Industry: Health Services
Number of Employees: Medium (20-99)
Principal Office: 20 BURTON HILLS BOULEVARD, SUITE 500, NASHVILLE, TN 37215
Place of Formation: KENTUCKY

Manager

Name Role
Mark Jeffrey Slepin, M.D. Manager

Organizer

Name Role
JOSEPH H. GATEWOOD Organizer

Registered Agent

Name Role
CORPORATION SERVICE COMPANY Registered Agent

Member

Name Role
Kentucky IPS Medical Services PSC Member

National Provider Identifier

NPI Number:
1629415955
Certification Date:
2019-12-09

Authorized Person:

Name:
DR. GREGROY J BYRNE
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
363A00000X - Physician Assistant
Is Primary:
No
Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
208M00000X - Hospitalist Physician
Is Primary:
Yes

Contacts:

Filings

Name File Date
Dissolution 2025-03-19
Annual Report 2024-06-25
Principal Office Address Change 2024-06-25
Annual Report 2023-06-08
Annual Report 2022-06-29

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Sources: Kentucky Secretary of State