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HOSPITAL WAY EMERGENCY PHYSICIANS, PLLC

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Company Details

Name: HOSPITAL WAY EMERGENCY PHYSICIANS, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved
Date of registration: 17 Nov 2015 (10 years ago)
Financial Date End: 30 Nov 2023
Date dissolved: 12 Oct 2023
Entity Number: 481716
Place of Formation: IDAHO
File Number: 481716
Principal Address: 6363 S. FIDDLERS GREEN CIRCLE SUITE 1400 DENVER, CO 80111
Mailing Address: 1A BURTON HILLS BLVD NASHVILLE, TN 37215-6187

Agent

Name Role Address
CORPORATION SERVICE COMPANY Agent 1305 12TH AVE RD, NAMPA, ID 83686

Member

Name Role Address Appointed On Resigned On
Idaho EM-I Medical Services, P.C. Member 7700 W SUNRISE BLVD, PLANTATION, FL 33322-4113 2020-11-25 2021-10-19

Manager

Name Role Address Appointed On
MARK JEFFREY SLEPIN, M.D. Manager 1A BURTON HILLS BLVD, NASHVILLE, TN 37215-6187 2021-10-19

National Provider Identifier

NPI Number:
1891160578

Authorized Person:

Name:
MARK J SLEPIN
Role:
PRESIDENT
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:

Filing

Filing Name Filing Number Filing date
Statement of Dissolution 0005439000 2023-10-12
Annual Report 0004955895 2022-10-18
Registered Agent Name/Address Change (mass change) 0004640172 2022-03-08
Registered Agent Name/Address Change (mass change) 0004465751 2021-10-29
Annual Report 0004451325 2021-10-19

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Date of last update: 12 May 2025

Sources: Idaho Secretary of State