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EVENTIDE HEALTH PLLC

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Company Details

Legal Name: EVENTIDE HEALTH PLLC
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: December 6th 2019
Expiration date: 31 Dec 2025
UBI Number: 604 538 280
ZIP code: 98250
City: Friday Harbor
County: SAN JUAN
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 232 A ST # C3, FRIDAY HARBOR, WA, 98250-9595, UNITED STATES
Principal Office Mailing Address: Google Maps Logo PO BOX 1550, FRIDAY HARBOR, WA, 98250-1550, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $39,018

Contact Details

E-Mail: WILLIAMFHOUSE@GMAIL.COM

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
THOMAS SANDSTROM Registered Agent 278 A ST STE 1, FRIDAY HARBOR, WA, 98250-7178, UNITED STATES

Key Officers & Management

Name Role Address
WILLIAM HOUSE Executor 821 SUNDAY DR, FRIDAY HARBOR, WA, 98250-7300, UNITED STATES
WILLIAM HOUSE Governing Person -

National Provider Identifier

NPI Number:
1669010476
Certification Date:
2020-09-02

Authorized Person:

Name:
DR. WILLIAM F HOUSE
Role:
PHYSICIAN/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QR1300X - Rural Health Clinic/Center
Is Primary:
Yes

Contacts:

Paycheck Protection Program

Jobs Reported:
13
Initial Approval Amount:
$184,660
Date Approved:
2021-02-06
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$184,660
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$185,798.32
Servicing Lender:
Heritage Bank
Use of Proceeds:
Payroll: $184,655
Utilities: $1
Jobs Reported:
13
Initial Approval Amount:
$184,660
Date Approved:
2020-04-09
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$184,660
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$186,997.34
Servicing Lender:
Heritage Bank
Use of Proceeds:
Payroll: $184,660
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