C. DONALD WILLIAMS, M.D., P.S.

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Company Details

Legal Name:	C. DONALD WILLIAMS, M.D., P.S.
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL SERVICE CORPORATION
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	July 27th 1987
Expiration date:	31 Jul 2026
UBI Number:	601 037 769
ZIP code:	98901
City:	Yakima
County:	YAKIMA
Home State:	WASHINGTON
Principal Office Street Address:	402 E YAKIMA AVE STE 1080, YAKIMA, WA, 98901-2760, UNITED STATES

Contact Details

E-Mail:	KACIP@CDWILLIAMSMD.COM
Phone Number:	+1 509-457-4611

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
C DONALD WILLIAMS	Registered Agent	402 E YAKIMA AVE # 1080, YAKIMA, WA, 98901-0000, UNITED STATES

Key Officers & Management

Name	Role	Address
CHARLES WILLIAMS	Governing Person	311 N 22ND AVE, YAKIMA, WA, 98902, UNITED STATES

National Provider Identifier

NPI Number:

1770668774

Link:

View on NPI website

Authorized Person:

Name:

CHARLES DONALD WILLIAMS

Role:

PRESIDENT

Phone:

5094574611

Taxonomy:

Selected Taxonomy:

2084P0800X - Psychiatry Physician

Is Primary:

Yes

Contacts:

Phone:

+1 509-457-4611

Fax:

5094543295

Form 5500 Series

Employer Identification Number (EIN):

911379994

Plan Year:

2023

Number Of Participants:

2

Sponsor's telephone number:

5094574611

File:

Plan Administrator / Signatory:

C. DONALD WILLIAMS(Plan administrator)

Plan Year:

2022

Number Of Participants:

2

Sponsor's telephone number:

5094574611

File:

Plan Administrator / Signatory:

C. DONALD WILLIAMS(Plan administrator)

Plan Year:

2021

Number Of Participants:

3

Sponsor's telephone number:

5094574611

File:

Plan Administrator / Signatory:

C. DONALD WILLIAMS(Plan administrator)

Plan Year:

2020

Number Of Participants:

3

Sponsor's telephone number:

5094574611

File:

Plan Administrator / Signatory:

C. DONALD WILLIAMS(Plan administrator)

Plan Year:

2019

Number Of Participants:

3

Sponsor's telephone number:

5094574611

File:

Plan Administrator / Signatory:

C. DONALD WILLIAMS(Plan administrator)

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