0001350464-16-000002.txt : 20160419 0001350464-16-000002.hdr.sgml : 20160419 20160418181422 ACCESSION NUMBER: 0001350464-16-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160419 DATE AS OF CHANGE: 20160418 EFFECTIVENESS DATE: 20160419 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 SEC ACT: 1933 Act SEC FILE NUMBER: 021-261588 FILM NUMBER: 161577664 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 1 primary_doc.xml X0707 D 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 James Welch 3831 Piper Street Suite S-110 Anchorage AK ALASKA 99508 Director Leslie Dean, M.D. 3831 Piper Street Suite S-110 Anchorage AK ALASKA 99508 Director Upshur Spencer, M.D. 3831 Piper Street Suite S-110 Anchorage AK ALASKA 99508 Director Laura McDonough 3831 Piper Street Suite S-110 Anchorage AK ALASKA 99508 Director Estrada Bernard, M.D. 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 false 2016-04-04 false true false 0 307310 307310 0 false 1 0 0 0 false PROVIDENCE SURGERY CENTERS LLC /s/ Upshur Spencer, M.D. Upshur Spencer, M.D. Manager 2016-04-18