HUDSON'S BAY MEDICAL GROUP, INC. P.S.

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Company Details

Legal Name:	HUDSON'S BAY MEDICAL GROUP, INC. P.S.
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL SERVICE CORPORATION
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	December 1st 1972
Expiration date:	31 Dec 2025
UBI Number:	600 093 416
ZIP code:	98663
City:	Vancouver
County:	CLARK
Home State:	WASHINGTON
Principal Office Street Address:	100 E 33RD ST, SUITE 206, VANCOUVER, WA, 98663-2776, UNITED STATES
Supporting healthcare providers fighting with COVID-19:	$23,162

Contact Details

E-Mail:	KATHY@HUDSONSBAYMED.COM
Phone Number:	+1 360-992-1155

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
HUDSON'S BAY MEDICAL GROUP	Registered Agent	100 E 33RD ST, SUITE 206, VANCOUVER, WA, 98663-2776, UNITED STATES

Key Officers & Management

Name	Role
MARIA ANNA KOSCINSKA	Governing Person
JENNIFER MCDONALD	Governing Person

National Provider Identifier

NPI Number:

1942204664

Certification Date:

2022-09-28

Link:

View on NPI website

Authorized Person:

Name:

MRS. KATHY HINTZ

Role:

ADMINISTRATOR

Phone:

3609921155

Taxonomy:

Selected Taxonomy:

207Q00000X - Family Medicine Physician

Is Primary:

No

Selected Taxonomy:

213E00000X - Podiatrist

Is Primary:

No

Selected Taxonomy:

363A00000X - Physician Assistant

Is Primary:

No

Selected Taxonomy:

363L00000X - Nurse Practitioner

Is Primary:

No

Selected Taxonomy:

363LF0000X - Family Nurse Practitioner

Is Primary:

No

Selected Taxonomy:

207R00000X - Internal Medicine Physician

Is Primary:

Yes

Contacts:

Phone:

+1 360-695-1334

Fax:

3609921159

Form 5500 Series

Employer Identification Number (EIN):

910889737

Plan Year:

2024

Number Of Participants:

13

Plan Name:

401(K)

Sponsor's telephone number:

3609921140

File:

Plan Administrator / Signatory:

ALINA MANZHUA(Plan administrator)

Plan Year:

2023

Number Of Participants:

13

Plan Name:

401(K)

Sponsor's telephone number:

3609921140

File:

Plan Administrator / Signatory:

KATHY HINTZ(Plan administrator)

Plan Year:

2022

Number Of Participants:

12

Plan Name:

401(K)

Sponsor's telephone number:

3609921140

File:

Plan Administrator / Signatory:

KATHY HINTZ(Plan administrator)

Plan Year:

2021

Number Of Participants:

15

Plan Name:

401(K)

Sponsor's telephone number:

3609921140

File:

Plan Administrator / Signatory:

KATHY HINTZ(Plan administrator)

Plan Year:

2020

Number Of Participants:

16

Plan Name:

401(K)

Sponsor's telephone number:

3609921140

File:

Plan Administrator / Signatory:

KATHY HINTZ(Plan administrator)

Paycheck Protection Program

Jobs Reported:

20

Initial Approval Amount:

$257,200

Date Approved:

2020-04-11

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$257,200

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$258,820.71

Servicing Lender:

KeyBank National Association

Use of Proceeds:

Payroll: $257,200

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