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GREAT RIVERS BEHAVIORAL HEALTH ORGANIZATION LLC

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Company Details

Legal Name: GREAT RIVERS BEHAVIORAL HEALTH ORGANIZATION LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: April 1st 2019
Expiration date: 30 Apr 2026
UBI Number: 604 410 263
ZIP code: 98532
City: Chehalis
County: LEWIS
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1861 S MARKET BLVD, CHEHALIS, WA, 98532-4136, UNITED STATES
Principal Office Mailing Address: Google Maps Logo PO BOX 1447, CHEHALIS, WA, 98532, UNITED STATES

Contact Details

E-Mail: KBLUHM@GREATRIVERSBHO.ORG
Phone Number: +1 360-795-5942

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
MARC BOLLINGER Registered Agent 1861 S MARKET BLVD, CHEHALIS, WA, 98532-4136, UNITED STATES

Key Officers & Management

Name Role Address
EDNA FUND Executor 351 NW NORTH ST, CHEHALIS, WA, 98532-1926, UNITED STATES
DAVID TOBIN Governing Person -
VICKIE RAINES Governing Person -
LEWIS COUNTY Governing Person -
WAHKIAKUM COUNTY Governing Person -
PACIFIC COUNTY Governing Person -
GRAYS HARBOR COUNTY Governing Person -
COWITZ COUNTY Governing Person -
LINDSEY R. POLLOCK, DVM Governing Person -
GENE STRONG Governing Person -

Unique Entity ID

CAGE Code:
7SR61
UEI Expiration Date:
2020-11-03

Business Information

Activation Date:
2019-11-04
Initial Registration Date:
2016-10-28

Commercial and government entity program

CAGE number:
7SR61
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2024-11-05
CAGE Expiration:
2024-11-04
SAM Expiration:
2020-11-03

Contact Information

POC:
BRIAN J. CAMERON
Corporate URL:
www.greatriversbho.org

National Provider Identifier

NPI Number:
1285155366

Authorized Person:

Name:
MR. MARC EDMUND BOLLINGER
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
Yes

Contacts:

Fax:
3607408099

Paycheck Protection Program

Jobs Reported:
92
Initial Approval Amount:
$1,572,300
Date Approved:
2020-06-17
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$1,572,300
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$1,587,333.77
Servicing Lender:
Umpqua Bank
Use of Proceeds:
Payroll: $1,572,300
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