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FOURTH CORNER NEUROSURGICAL ASSOCIATES, INC., P.S.

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Company Details

Legal Name: FOURTH CORNER NEUROSURGICAL ASSOCIATES, INC., P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: July 21st 1988
Expiration date: 31 Jul 2025
UBI Number: 601 098 281
ZIP code: 98225
City: Bellingham
County: WHATCOM
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 710 BIRCHWOOD AVE STE 101, BELLINGHAM, WA, 98225-1720, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $198,548

Contact Details

E-Mail: KAWAGTER@HINET.ORG
Phone Number: +1 360-676-0922

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role
BD SERVICES CORPORATION Registered Agent

Key Officers & Management

Name Role Address
TUNG HA Governing Person 710 BIRCHWOOD AVE #101, BELLINGHAM, WA, 98225, UNITED STATES
BARRY LANDAU Governing Person 710 BIRCHWOOD AVE #101, BELLINGHAM, WA, 98225, UNITED STATES
CARLTON MCQUEEN Governing Person -
MARC BILLINGS Governing Person -
RAMANA GORREPATI Governing Person -

National Provider Identifier

NPI Number:
1275938102
Certification Date:
2022-07-05

Authorized Person:

Name:
DR. TUNG HA
Role:
MEDICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
3605270407

Form 5500 Series

Employer Identification Number (EIN):
911416044
Plan Year:
2009
Number Of Participants:
16
Sponsor's telephone number:
Plan Administrator / Signatory:
DAVID BAKER(Plan administrator)
Plan Year:
2009
Number Of Participants:
8
Sponsor's telephone number:
Plan Administrator / Signatory:
DAVID BAKER(Plan administrator)
Plan Year:
2009
Number Of Participants:
16
Sponsor's telephone number:
Plan Administrator / Signatory:
DAVID BAKER(Plan administrator)
Plan Year:
2009
Number Of Participants:
20
Sponsor's telephone number:
Plan Administrator / Signatory:
DAVID BAKER(Plan administrator)

Paycheck Protection Program

Jobs Reported:
30
Initial Approval Amount:
$645,650
Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$645,650
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$653,981.54
Servicing Lender:
First Fed Bank
Use of Proceeds:
Payroll: $645,650
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