COLUMBIA SHORES COMPREHENSIVE OBSTETRICS AND GYNECOLOGY, PLLC

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Company Details

Legal Name:	COLUMBIA SHORES COMPREHENSIVE OBSTETRICS AND GYNECOLOGY, PLLC
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Delinquent
Formation/ Registration Date:	June 4th 2007
Expiration date:	30 Jun 2025
UBI Number:	602 731 827
ZIP code:	99352
City:	Richland
County:	BENTON
Home State:	WASHINGTON
Principal Office Street Address:	138 KEENE RD, RICHLAND, WA, 99352, UNITED STATES
Principal Office Mailing Address:	138 KEENE ROAD, SUITE 201, RICHLAND, WA, 99352, UNITED STATES

Contact Details

E-Mail:	ADMIN@COLUMBIASHORESOBGYN.NET
Phone Number:	+1 509-628-8866

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
COLUMBIA SHORES COMPREHENSIVE OBSTETRICS AND GYNECOLOGY, PLLC	Registered Agent	138 KEENE RD, RICHLAND, WA, 99352-8683, UNITED STATES

Key Officers & Management

Name	Role	Address
DANIEL EDWARD BAHNMILLER	Governing Person	138 KEENE ROAD, RICHLAND, WA, 99352, UNITED STATES

National Provider Identifier

NPI Number:

1285825380

Link:

View on NPI website

Authorized Person:

Name:

DR. DANIEL E BAHNMILLER

Role:

CHAIRMAN

Phone:

5097839966

Taxonomy:

Selected Taxonomy:

207VX0000X - Obstetrics Physician

Is Primary:

Yes

Contacts:

Phone:

+1 509-783-9966

Fax:

5097836611

Form 5500 Series

Employer Identification Number (EIN):

260312343

Plan Year:

2021

Number Of Participants:

11

Plan Name:

401(K)

Sponsor's telephone number:

5096288866

File:

Plan Year:

2020

Number Of Participants:

10

Plan Name:

401(K)

Sponsor's telephone number:

5096288866

File:

Plan Year:

2019

Number Of Participants:

10

Plan Name:

401(K)

Sponsor's telephone number:

5096288866

File:

Plan Year:

2019

Number Of Participants:

10

Plan Name:

401(K)

Sponsor's telephone number:

5096288866

Plan Year:

2018

Number Of Participants:

8

Plan Name:

401(K)

Sponsor's telephone number:

5096288866

File:

Paycheck Protection Program

Jobs Reported:

10

Initial Approval Amount:

$113,085

Date Approved:

2020-04-10

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$113,085

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$113,865.75

Servicing Lender:

First Interstate Bank

Use of Proceeds:

Payroll: $113,085

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