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KEELER'S MEDICAL SUPPLY, INC.

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Company Details

Legal Name: KEELER'S MEDICAL SUPPLY, INC.
Jurisdiction: WASHINGTON
Entity Type: WA PROFIT CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: April 28th 1971
Date of Dissolution: September 3rd 2018
Expiration date: 30 Apr 2018
UBI Number: 600 043 096

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Registered Agent Information

Name Role Address
CHUCK VETSCH Registered Agent 2001 W LINCOLN AVE, YAKIMA, WA, 98902-2412, UNITED STATES

Key Officers & Management

Name Role Address
BRAD VETSCH Governing Person 2001 W LINCOLN AVE, YAKIMA, WA, 98902-2412, UNITED STATES
CHUCK VETSCH Governing Person 2001 W LINCOLN AVE, YAKIMA, WA, 98902-2412, UNITED STATES

Unique Entity ID

CAGE Code:
5PE14
UEI Expiration Date:
2018-05-24

Business Information

Doing Business As:
KEELER'S HOME NURSING SUPPLIES
Activation Date:
2017-05-24
Initial Registration Date:
2009-09-10

Commercial and government entity program

CAGE number:
5PE14
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2022-07-05
CAGE Expiration:
2022-07-04

Contact Information

POC:
ANDREA WHITE

National Provider Identifier

NPI Number:
1679534044

Authorized Person:

Name:
MR. CHARLES VETSCH JR.
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
No
Selected Taxonomy:
332BC3200X - Customized Equipment (DME)
Is Primary:
No
Selected Taxonomy:
332BX2000X - Oxygen Equipment & Supplies (DME)
Is Primary:
No
Selected Taxonomy:
332BP3500X - Parenteral & Enteral Nutrition Supplies (DME)
Is Primary:
No
Selected Taxonomy:
335E00000X - Prosthetic/Orthotic Supplier
Is Primary:
No

Contacts:

Fax:
5095777604

Form 5500 Series

Employer Identification Number (EIN):
910866601
Plan Year:
2020
Number Of Participants:
1
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
CHARLES E VETSCH(Plan administrator) CHARLES E VETSCH(Employer/plan sponsor)
Plan Year:
2020
Number Of Participants:
1
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
CHARLES E VETSCH(Plan administrator)
Plan Year:
2020
Number Of Participants:
1
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
CHARLES E VETSCH(Plan administrator)
Plan Year:
2020
Number Of Participants:
1
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
CHARLES E VETSCH(Plan administrator)
Plan Year:
2020
Number Of Participants:
35
Plan Name:
401(K)
Sponsor's telephone number:
Plan Administrator / Signatory:
CHARLES E VETSCH(Plan administrator)
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