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  5. LEGACY SALMON CREEK HOSPITAL

LEGACY SALMON CREEK HOSPITAL

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Company Details

Legal Name: LEGACY SALMON CREEK HOSPITAL
Jurisdiction: WASHINGTON
Entity Type: WA NONPROFIT CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: January 6th 2003
Expiration date: 31 Jan 2026
UBI Number: 602 260 813
ZIP code: 98686
City: Vancouver
County: CLARK
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 2211 NE 139TH ST, VANCOUVER, WA, 98686-2742, UNITED STATES
Principal Office Mailing Address: Google Maps Logo 1919 NW LOVEJOY ST, PORTLAND, OR, 97209-1503, UNITED STATES

Contact Details

E-Mail: PHETTWER@LHS.ORG
Phone Number: +1 503-873-1587

Nature of Business

NONPROFIT HEALTHCARE

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Registered Agent Information

Name Role Address
JON HERSEN Registered Agent 2211 NE 139TH ST, VANCOUVER, WA, 98686-2742, UNITED STATES

Key Officers & Management

Name Role Address
GEORGE BROWN Governing Person -
KERRY GILLESPIE Governing Person -
JEFFREY BARBER Governing Person -
CHARLES WILHOITE Governing Person -
CRAIG ARMSTRONG Governing Person 2211 NE 139TH ST, VANCOUVER, WA, 98686-2742, UNITED STATES

Unique Entity ID

Unique Entity ID:
US1NHRAWLHG9
CAGE Code:
9CX14
UEI Expiration Date:
2026-04-23

Business Information

Activation Date:
2025-04-25
Initial Registration Date:
2022-09-08

National Provider Identifier

NPI Number:
1538709803
Certification Date:
2020-01-14
Link:
View on NPI website

Authorized Person:

Name:
ANNA LOOMIS
Role:
CFO
Phone:
5034155730

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

Phone:
+1 503-413-3958
Phone:
+1 360-487-2727
Fax:
3604872729

OSHA's Inspections within Industry

Inspection Summary

Date:
2011-10-27
Type:
Referral
Address:
2211 NE 139TH ST, VANCOUVER, WA, 98686
Safety Health:
Health
Scope:
Partial
Inspection Link:
View Inspection data on OSHA website

Inspection Summary

Date:
2010-06-10
Type:
Referral
Address:
2211 NE 139TH ST, VANCOUVER, WA, 98686
Safety Health:
Health
Scope:
Partial
Inspection Link:
View Inspection data on OSHA website

Inspection Summary

Date:
2007-09-28
Type:
Referral
Address:
2211 NE 139TH ST, VANCOUVER, WA, 98686
Safety Health:
Health
Scope:
Partial
Inspection Link:
View Inspection data on OSHA website

Tax Exempt

Employer Identification Number (EIN):
33-1065485
In Care Of Name:
% CAMPBELL GRONER
Ruling Date:
2004-02
National Taxonomy Of Exempt Entities:
Health Care: Hospital, General
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Copies of Returns

Return Type:
990
Tax Period:
202303
Link:
Download 990
Return Type:
990T
Tax Period:
202303
Link:
Download 990T
Return Type:
990
Tax Period:
202203
Link:
Download 990

Facilities

FRS ID:
110022443293
Facility Address:
2211 NE 139TH ST, VANCOUVER, CLARK, WA, 98686
Link:
View a detailed facility report on Enforcement and Compliance History (ECHO)

Facility NAICS Codes

System:
RCRAINFO
Identifier:
WAH000026330
NAICS Code:
622110
FRS ID:
110041431493
Facility Address:
UNKNOWN, VANCOUVER, CLARK, WA, 00000
Link:
View a detailed facility report on Enforcement and Compliance History (ECHO)

Facility NAICS Codes

System:
EIS
Identifier:
11493111
NAICS Code:
488119

Labor Condition Applications

Case Number:
I-200-15026-807587
Program:
H-1B
Job Title:
HOSPITALIST PHYSICIAN
SOC (ONET/OES) code:
29-1062
SOC (ONET/OES) occupation title:
FAMILY AND GENERAL PRACTITIONERS
Begin Date:
2015-06-24
End Date:
2018-06-23

Employment and Wage Information

Address:
VANCOUVER, CLARK, WA, 98686
Wage Rate Paid to Nonimmigrant Workers:
$201,000
Per:
Year
Prevailing Wage Rate:
$178,006
Case Number:
I-200-13253-352629
Program:
H-1B
Job Title:
HOSPITALIST
SOC (ONET/OES) code:
29-1063
SOC (ONET/OES) occupation title:
Internists, General
Begin Date:
2013-09-24
End Date:
2016-09-23

Employment and Wage Information

Address:
VANCOUVER, WA
Wage Rate Paid to Nonimmigrant Workers:
$170,000
Per:
Year
Prevailing Wage Rate:
$167,440
Case Number:
I-200-12069-107080
Program:
H-1B
Job Title:
HOSPITALIST PHYSICIAN
SOC (ONET/OES) code:
29-1063
SOC (ONET/OES) occupation title:
Internists, General
Begin Date:
2012-06-23
End Date:
2013-06-22

Employment and Wage Information

Address:
VANCOUVER, WA
Wage Rate Paid to Nonimmigrant Workers:
$167,000
Per:
Year
Prevailing Wage Rate:
$135,574
Case Number:
I-200-10154-677044
Job Title:
HOSPITALIST
SOC (ONET/OES) code:
29-1063.00
SOC (ONET/OES) occupation title:
Internists, General
Begin Date:
2010-09-24
End Date:
2013-09-23

Employment and Wage Information

Address:
VANCOUVER, WA
Wage Rate Paid to Nonimmigrant Workers:
$158,999.36
Prevailing Wage Rate:
$140,795
Case Number:
I-200-10095-358996
Job Title:
HOSPITALIST
SOC (ONET/OES) code:
29-1063.00
SOC (ONET/OES) occupation title:
Internists, General
Begin Date:
2010-07-05
End Date:
2013-07-04

Employment and Wage Information

Address:
VANCOUVER, WA
Wage Rate Paid to Nonimmigrant Workers:
$143,999.86
Prevailing Wage Rate:
$140,795

Related by address

2211 NE 139TH ST, VANCOUVER, WA, 98686-2742, UNITED STATES

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