NORTHWEST SPOKANE PEDIATRICS, P.L.L.C.

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Company Details

Legal Name:	NORTHWEST SPOKANE PEDIATRICS, P.L.L.C.
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	March 13th 2003
Expiration date:	31 Mar 2026
UBI Number:	602 279 511
ZIP code:	99207
City:	Spokane
County:	SPOKANE
Home State:	WASHINGTON
Principal Office Street Address:	220 E ROWAN AVE STE 150, SPOKANE, WA, 99207-2244, UNITED STATES
Principal Office Mailing Address:	220 E ROWAN AVE, SUITE 150, SPOKANE, WA, 99207-2244, UNITED STATES

Contact Details

E-Mail:	LEVI@NWSPKIDS.COM
Phone Number:	+1 509-483-4060

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
NORTHWEST SPOKANE PEDIATRICS, PLLC	Registered Agent	220 E ROWAN AVE, SUITE 150, SPOKANE, WA, 99207-2244, UNITED STATES

Key Officers & Management

Name	Role
BROOKE JORDAN	Governing Person
LEVI JORDAN	Governing Person

National Provider Identifier

NPI Number:

1952525636

Link:

View on NPI website

Authorized Person:

Name:

LEVI JORDAN

Role:

ADMINISTRATOR

Phone:

5098664646

Taxonomy:

Selected Taxonomy:

225X00000X - Occupational Therapist

Is Primary:

No

Selected Taxonomy:

261QM1300X - Multi-Specialty Clinic/Center

Is Primary:

No

Selected Taxonomy:

261QP2300X - Primary Care Clinic/Center

Is Primary:

No

Selected Taxonomy:

363LP0200X - Pediatric Nurse Practitioner

Is Primary:

Yes

Contacts:

Phone:

+1 509-483-4060

Fax:

5094830043

Form 5500 Series

Employer Identification Number (EIN):

911482356

Plan Year:

2024

Number Of Participants:

32

Plan Name:

401(K)

Sponsor's telephone number:

5098664646

File:

Plan Administrator / Signatory:

QIAN LIU(Plan administrator)

Plan Year:

2023

Number Of Participants:

31

Plan Name:

401(K)

Sponsor's telephone number:

5098664646

File:

Plan Administrator / Signatory:

QIAN LIU(Plan administrator)

Plan Year:

2022

Number Of Participants:

25

Plan Name:

401(K)

Sponsor's telephone number:

5098664646

File:

Plan Administrator / Signatory:

CHRISTINE RIMER(Plan administrator)

Plan Year:

2021

Number Of Participants:

20

Plan Name:

401(K)

Sponsor's telephone number:

5098664646

File:

Plan Administrator / Signatory:

CHRISTINE RIMER(Plan administrator)

Plan Year:

2020

Number Of Participants:

14

Plan Name:

401(K)

Sponsor's telephone number:

5098664646

File:

Plan Administrator / Signatory:

CAROL HO(Plan administrator)

Paycheck Protection Program

Jobs Reported:

22

Initial Approval Amount:

$222,500

Date Approved:

2020-04-12

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$222,500

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$223,966.99

Servicing Lender:

Cross River Bank

Use of Proceeds:

Payroll: $222,500

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