COLUMBIA ANESTHESIA GROUP, P.S.

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Company Details

Legal Name:	COLUMBIA ANESTHESIA GROUP, P.S.
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL SERVICE CORPORATION
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	May 20th 1991
Expiration date:	31 May 2026
UBI Number:	601 319 832
ZIP code:	98664
City:	Vancouver
County:	CLARK
Home State:	WASHINGTON
Principal Office Street Address:	505 NE 87TH AVENUE, SUITE 210, SUITE 210, VANCOUVER, WA, 98664, UNITED STATES
Principal Office Mailing Address:	505 NE 87TH AVE, SUITE 210, VANCOUVER, WA, 98664-1988, UNITED STATES
Supporting healthcare providers fighting with COVID-19:	$608,634

Contact Details

E-Mail:	ACCOUNTING@CAGMED.COM
Phone Number:	+1 360-828-5396

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
GREG CONNELL	Registered Agent	505 NE 87TH AVE STE 210, VANCOUVER, WA, 98664-1988, UNITED STATES

Key Officers & Management

Name	Role
GREGORY CONNELL	Governing Person
CHLOE ALLEN MAYCOCK	Governing Person
NHUNG LAM	Governing Person

National Provider Identifier

NPI Number:

1861448235

Certification Date:

2023-03-09

Link:

View on NPI website

Authorized Person:

Name:

DR. GREGORY A CONNELL

Role:

PRESIDENT

Phone:

3608285396

Taxonomy:

Selected Taxonomy:

207L00000X - Anesthesiology Physician

Is Primary:

Yes

Contacts:

Phone:

+1 360-828-5396

Fax:

3608285455

Form 5500 Series

Employer Identification Number (EIN):

911518728

Plan Year:

2022

Number Of Participants:

120

Sponsor's telephone number:

3608285396

File:

Plan Administrator / Signatory:

MICHAEL PARADIS, MD(Plan administrator)

Plan Year:

2021

Number Of Participants:

120

Sponsor's telephone number:

3608285396

File:

Plan Administrator / Signatory:

MICHAEL PARADIS, MD(Plan administrator)

Plan Year:

2020

Number Of Participants:

81

Sponsor's telephone number:

3608285396

File:

Plan Administrator / Signatory:

MICHAEL PARADIS, MD(Plan administrator) AARON BUTCH PARKER, MD(Employer/plan sponsor)

Plan Year:

2019

Number Of Participants:

77

Sponsor's telephone number:

3608285396

File:

Plan Administrator / Signatory:

JAMES GRANT, M.D.(Plan administrator) JAMES GRANT(Employer/plan sponsor)

Plan Year:

2018

Number Of Participants:

69

Sponsor's telephone number:

3608285396

File:

Plan Administrator / Signatory:

JAMES GRANT, M.D.(Plan administrator)

Paycheck Protection Program

Jobs Reported:

93

Initial Approval Amount:

$2,023,798

Date Approved:

2020-04-15

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$2,023,798

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$2,047,746.28

Servicing Lender:

Columbia Community CU

Use of Proceeds:

Payroll: $2,000,000
Rent: $23,798

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