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OLYMPIA EMERGENCY PHYSICIANS, PLLC

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Company Details

Name: OLYMPIA EMERGENCY PHYSICIANS, PLLC
Legal type: Kentucky Limited Liability Company
Status: Active
Standing: Good
Profit or Non-Profit: Profit
File Date: 08 Feb 2016 (9 years ago)
Organization Date: 08 Feb 2016 (9 years ago)
Last Annual Report: 28 Jun 2024 (a year ago)
Managed By: Managers
Organization Number: 0943634
Industry: Health Services
Number of Employees: Small (0-19)
Principal Office: 20 BURTON HILLS BLVD, Suite 500, NASHVILLE, TN 37215
Place of Formation: KENTUCKY

Manager

Name Role
Mark Jeffrey Slepin MD Manager
Andrew Mulvey MD Manager

Organizer

Name Role
EDDIE STONE MD Organizer

Registered Agent

Name Role
CORPORATION SERVICE COMPANY Registered Agent

National Provider Identifier

NPI Number:
1568826212

Authorized Person:

Name:
TENNA BEHM
Role:
OFFICER
Phone:

Taxonomy:

Selected Taxonomy:
363A00000X - Physician Assistant
Is Primary:
No
Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207P00000X - Emergency Medicine Physician
Is Primary:
Yes

Contacts:

Filings

Name File Date
Principal Office Address Change 2024-06-28
Annual Report 2024-06-28
Annual Report 2023-06-08
Annual Report 2022-06-16
Principal Office Address Change 2022-06-16

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Sources: Kentucky Secretary of State