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N.W. PEDIATRIC CENTER, INC. P.S.

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Company Details

Legal Name: N.W. PEDIATRIC CENTER, INC. P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: January 4th 1994
Expiration date: 31 Jan 2026
UBI Number: 601 513 868
ZIP code: 98531
City: Centralia
County: LEWIS
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1911 COOKS HILL RD, CENTRALIA, WA, 98531-9073, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $1,609,641

Contact Details

E-Mail: LMCKAY@NWPEDS.COM
Phone Number: +1 360-736-6778

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
NORTHWEST PEDIATRIC CENTER INC PS Registered Agent 1911 COOKS HILL RD, CENTRALIA, WA, 98531-9073, UNITED STATES

Key Officers & Management

Name Role Address
JEMIMA TSO Governing Person 1911 COOKS HILL ROAD, CENTRALIA, WA, 98531, UNITED STATES
LILY LO Governing Person 1911 COOKS HILL ROAD, CENTRALIA, WA, 98531, UNITED STATES
JENNIFER CASERTA Governing Person -
AARON DALAN Governing Person -
MARIA ROWENA RAMIREZ Governing Person -
DAVID RUSSELL Governing Person -

National Provider Identifier

NPI Number:
1912515917
Certification Date:
2020-07-16

Authorized Person:

Name:
LISA G MCKAY
Role:
PRACTICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
No
Selected Taxonomy:
2084P0804X - Child & Adolescent Psychiatry Physician
Is Primary:
No
Selected Taxonomy:
363LP0200X - Pediatric Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
Yes

Contacts:

Fax:
3607366552

Paycheck Protection Program

Jobs Reported:
73
Initial Approval Amount:
$1,081,124.2
Date Approved:
2020-04-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$1,081,124.2
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$1,089,180.8
Servicing Lender:
Umpqua Bank
Use of Proceeds:
Payroll: $1,081,124.2

Labor Condition Applications

Case Number:
I-200-24080-816845
Program:
H-1B
Job Title:
Physician
SOC (ONET/OES) code:
29-1221.00
SOC (ONET/OES) occupation title:
Pediatricians, General
Begin Date:
2024-07-01
End Date:
2027-07-01

Employment and Wage Information

Address:
1911 Cooks Hill Road, Centralia, LEWIS, WA, 98531
Wage Rate Paid to Nonimmigrant Workers:
$175,000
Per:
Year
Prevailing Wage Rate:
$122,429
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