0001350464-15-000001.txt : 20150821 0001350464-15-000001.hdr.sgml : 20150821 20150821160537 ACCESSION NUMBER: 0001350464-15-000001 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20150821 DATE AS OF CHANGE: 20150821 EFFECTIVENESS DATE: 20150821 FILER: COMPANY DATA: COMPANY CONFORMED NAME: PROVIDENCE SURGERY CENTERS LLC CENTRAL INDEX KEY: 0001350464 IRS NUMBER: 203567411 STATE OF INCORPORATION: AK FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-226713 FILM NUMBER: 151068943 BUSINESS ADDRESS: STREET 1: 3831 PIPER STREET STREET 2: SUITE S-110 CITY: ANCHORAGE STATE: AK ZIP: 99508 BUSINESS PHONE: 907-339-7800 MAIL ADDRESS: STREET 1: 3831 PIPER STREET STREET 2: SUITE S-110 CITY: ANCHORAGE STATE: AK ZIP: 99508 D/A 1 primary_doc.xml X0707 D/A LIVE 0001350464 PROVIDENCE SURGERY CENTERS LLC 3831 PIPER STREET SUITE S-110 ANCHORAGE AK ALASKA 99508 907-339-7800 ALASKA None None Limited Liability Company true Upshur Spencer, MD 3831 Piper Street Suite S-110 Anchorage AK ALASKA 99508 Director John Duddy, MD 3831 Piper Street Suite S-110 Anchorage AK ALASKA 99508 Director Leslie Dean, MD 3831 Piper Street Suite S-110 Anchorage AK ALASKA 99508 Director Laura McDonough 3831 Piper Street Suite S-110 Anchorage AK ALASKA 99508 Director Sean McCallister 3831 Piper Street Suite S-110 Anchorage AK ALASKA 99508 Director Andre Neptune 3831 Piper Street Suite S-110 Anchorage AK ALASKA 99508 Director Other Health Care Decline to Disclose 06b true 0001350464-14-000002 2014-09-30 false true false 215500 1077500 1077500 0 false 3 0 0 0 false PROVIDENCE SURGERY CENTERS LLC /s/ John T. Duddy, MD John T. Duddy, MD Chairman of the Board of Managers 2015-08-21