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EMERGENCY MEDICINE ASSOCIATES, P.C.

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Company Details

Legal Name: EMERGENCY MEDICINE ASSOCIATES, P.C.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: November 30th 1990
Expiration date: 30 Nov 2025
UBI Number: 601 287 343
ZIP code: 98664
City: Vancouver
County: CLARK
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 400 NE MOTHER JOSEPH PL, VANCOUVER, WA, 98664-3200, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $455,621

Contact Details

E-Mail: KAYKRAKE@GMAIL.COM
Phone Number: +1 360-514-2142

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
PRACTICE ADMINISTRATOR Registered Agent 400 NE MOTHER JOSEPH PL, VANCOUVER, WA, 98664-3200, UNITED STATES

Key Officers & Management

Name Role Address
JEFF STAGEBERG Governing Person 400 NE MOTHER JOSEPH PLACE, VANCOUVER, WA, 98664, UNITED STATES
KAY KRAKE Governing Person -
JOSHUA HURWITZ Governing Person -

U.S. Small Business Administration Profile

Phone Number:
+1 781-280-1661
E-mail Address:
hbenning@logixhealth.com
Contact Person:
HANNAH BENNING
Last Update Date:
2024-11-27
Naics Primary:
622110
SBA Link:
View company profile on SBA website

Self-Certification:

For Profit Organization
Subchapter S Corporation

Unique Entity ID

Unique Entity ID:
XPJ4DWJCZUT9
CAGE Code:
0BQP7
UEI Expiration Date:
2025-11-20

Business Information

Activation Date:
2024-11-21
Initial Registration Date:
2024-11-19

National Provider Identifier

NPI Number:
1962453860
Certification Date:
2022-01-05
Link:
View on NPI website

Authorized Person:

Name:
DANIEL M GORECKI
Role:
MD/AUTHORIZED OFFICIAL
Phone:
3605142142

Taxonomy:

Selected Taxonomy:
261QE0002X - Emergency Care Clinic/Center
Is Primary:
No
Selected Taxonomy:
207P00000X - Emergency Medicine Physician
Is Primary:
Yes

Contacts:

Phone:
+1 781-280-1773
Fax:
7812801814
Phone:
+1 360-514-2000
Fax:
3605146820

Form 5500 Series

Employer Identification Number (EIN):
911503875
Plan Year:
2023
Number Of Participants:
62
Plan Name:
401(K)
Sponsor's telephone number:
3605142141
File:
View File
Plan Administrator / Signatory:
JEFF STAGEBERG(Plan administrator)
Plan Year:
2022
Number Of Participants:
60
Plan Name:
401(K)
Sponsor's telephone number:
3605142141
File:
View File
Plan Administrator / Signatory:
JEFF STAGEBERG(Plan administrator)
Plan Year:
2021
Number Of Participants:
63
Plan Name:
401(K)
Sponsor's telephone number:
3605142141
File:
View File
Plan Administrator / Signatory:
JEFFREY STAGEBERG(Plan administrator) JEFFREY STAGEBERG(Employer/plan sponsor)
Plan Year:
2020
Number Of Participants:
59
Plan Name:
401(K)
Sponsor's telephone number:
3605142142
File:
View File
Plan Administrator / Signatory:
JEFFREY STAGEBERG(Plan administrator) JEFFREY STAGEBERG(Employer/plan sponsor)
Plan Year:
2019
Number Of Participants:
54
Plan Name:
401(K)
Sponsor's telephone number:
3605142141
File:
View File
Plan Administrator / Signatory:
JEFFREY STAGEBERG(Plan administrator) JEFFREY STAGEBERG(Employer/plan sponsor)

Paycheck Protection Program

Jobs Reported:
43
Initial Approval Amount:
$1,378,374
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$1,378,374
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$1,383,407.37
Servicing Lender:
Bank of America, National Association
Use of Proceeds:
Payroll: $1,378,374

Related by address

400 NE MOTHER JOSEPH PL, VANCOUVER, WA, 98664-3200, UNITED STATES

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