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HIGHLINE MEDICAL CENTER

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Company Details

Legal Name: HIGHLINE MEDICAL CENTER
Jurisdiction: WASHINGTON
Entity Type: WA NONPROFIT CORPORATION
Category: DOMESTIC ENTITY
Status: Merged
Formation/ Registration Date: December 7th 1959
Date of Dissolution: April 12th 2021
Expiration date: 31 Dec 2021
UBI Number: 600 305 640
ZIP code: 98166
City: Seattle
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 16251 SYLVESTER RD SW, BURIEN, WA, 98166, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $19,549,038

Contact Details

E-Mail: MEGANACORD@CHIFRANCISCAN.ORG

Nature of Business

HEALTHCARE

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Registered Agent Information

Name Role Address
C T CORPORATION SYSTEM Registered Agent 711 CAPITOL WAY S STE 204, OLYMPIA, WA, 98501-1267, UNITED STATES

Key Officers & Management

Name Role Address
MIKE FITZGERALD Governing Person 1717 SOUTH J ST, MS 07-00, TACOMA, WA, 98405, UNITED STATES
KETUL PATEL Governing Person -
THERESA RAMBOSEK Governing Person -
OSCAR A ZABEL Initial Board Of Director 518 4TH AVE, SEATTLE, WA, 98104, UNITED STATES
HARRY V SANISLO Initial Board Of Director 251 S 182ND ST, BURIEN, WA, 98148-1811, UNITED STATES
LESLIE M POTTER Initial Board Of Director 4020 56TH AVE SW, SEATTLE, WA, 98116-3502, UNITED STATES
JAMES C EDWARDS Initial Board Of Director STAR ROUTE BOX 188, TACOMA, WA, 98402, UNITED STATES
LESLIE C POTTER Initial Board Of Director 6557 35TH AVE SW, SEATTLE, WA, 98126-3005, UNITED STATES
HARRY V SANISLO INCORPORATOR 251 S 182ND ST, BURIEN, WA, 98148-1811, UNITED STATES
LESLIE M POTTER INCORPORATOR 4020 56TH AVE SW, SEATTLE, WA, 98116-3502, UNITED STATES

Unique Entity ID

CAGE Code:
636N6
UEI Expiration Date:
2014-06-03

Business Information

Doing Business As:
HIGHLINE SPECIALTY CENTER
Activation Date:
2013-06-04
Initial Registration Date:
2010-08-03

Commercial and government entity program

CAGE number:
636N6
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2014-06-03
CAGE Link:
View company profile on CAGE website

Contact Information

POC:
SCOTT ENCK

National Provider Identifier

NPI Number:
1427432475
Link:
View on NPI website

Authorized Person:

Name:
MARK BENEDUM
Role:
CHIEF OF OPERATIONS
Phone:
2069885774

Taxonomy:

Selected Taxonomy:
2085R0202X - Diagnostic Radiology Physician
Is Primary:
Yes

Contacts:

Phone:
+1 877-746-7096
Phone:
+1 206-988-5774
Fax:
2062442569

Form 5500 Series

Employer Identification Number (EIN):
910712166
Plan Year:
2012
Number Of Participants:
2000
Sponsor's telephone number:
2064315373
File:
View File
Plan Administrator / Signatory:
SHERRY COCHRAN(Plan administrator) GRACE HENLEY(Employer/plan sponsor)
Plan Year:
2012
Number Of Participants:
466
Plan Name:
401(K)
Sponsor's telephone number:
2062484610
File:
View File
Plan Administrator / Signatory:
SHERRY COCHRAN(Plan administrator) GRACE HENLEY(Employer/plan sponsor)
Plan Year:
2011
Number Of Participants:
1492
Sponsor's telephone number:
2064315373
File:
View File
Plan Administrator / Signatory:
GRACE HENLEY(Plan administrator)
Plan Year:
2011
Number Of Participants:
363
Plan Name:
401(K)
Sponsor's telephone number:
2062484610
File:
View File
Plan Administrator / Signatory:
GRACE HENLEY(Plan administrator)

USAspending Awards / Contracts

Procurement Instrument Identifier:
DJBP0611MB210003
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
PO
Action Obligation:
$22,744.43
Base And Exercised Options Value:
$22,744.43
Base And All Options Value:
$22,744.43
Awarding Agency Name:
Department of Justice
Performance Start Date:
2013-06-05
Description:
IGF::OT::IGF OTHER FUNCTIONS: EMERGENCY MEDICAL SERVICE DATE OF SERVICE: OCTOBER 24, 2012 - TBD
Naics Code:
622110: GENERAL MEDICAL AND SURGICAL HOSPITALS
Product Or Service Code:
Q999: MEDICAL- OTHER
Procurement Instrument Identifier:
DJBP0611LVB210307
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
PO
Action Obligation:
$4,058.78
Base And Exercised Options Value:
$4,058.78
Base And All Options Value:
$4,058.78
Awarding Agency Name:
Department of Justice
Performance Start Date:
2012-09-27
Description:
IGF::OT::IGF EMERGENCY MEDICAL SERVICES FOR INMATE
Naics Code:
622110: GENERAL MEDICAL AND SURGICAL HOSPITALS
Product Or Service Code:
Q999: MEDICAL- OTHER
Procurement Instrument Identifier:
DJBP0611LB210027
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
PO
Action Obligation:
$5,500
Base And Exercised Options Value:
$5,500
Base And All Options Value:
$5,500
Awarding Agency Name:
Department of Justice
Performance Start Date:
2012-09-25
Description:
IGF::OT::IGF EMERGENCY MEDICAL SERVICES DATE OF SERVICE: SEPTEMBER 25, 2012
Naics Code:
622110: GENERAL MEDICAL AND SURGICAL HOSPITALS
Product Or Service Code:
Q999: MEDICAL- OTHER

OSHA's Inspections within Industry

Inspection Summary

Date:
2012-04-03
Type:
Referral
Address:
16251 SYLVESTER RD SW, BURIEN, WA, 98166
Safety Health:
Safety
Scope:
Partial
Inspection Link:
View Inspection data on OSHA website

Court Cases

Filing Date:
2013-01-30
Status:
Terminated
Nature Of Judgment:
no monetary award
Jury Demand:
Plaintiff demands jury
Nature Of Suit:
Civil Rights Employment
Parties:
MARTIN INCORPORATED - Plaintiff
HIGHLINE MEDICAL CENTER - Defendant
Filing Date:
2013-01-30
Status:
Terminated
Nature Of Judgment:
no monetary award
Jury Demand:
Plaintiff demands jury
Nature Of Suit:
Civil Rights Employment
Parties:
MARTIN INCORPORATED - Plaintiff
HIGHLINE MEDICAL CENTER - Defendant
Filing Date:
2010-11-05
Status:
Terminated
Nature Of Judgment:
no monetary award
Jury Demand:
Plaintiff demands jury
Nature Of Suit:
Other Statutory Actions
Parties:
UNITED STATES OF AMERIC, - Plaintiff
HIGHLINE MEDICAL CENTER - Defendant
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