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OLYMPIC PENINSULA KIDNEY CENTER

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Company Details

Legal Name: OLYMPIC PENINSULA KIDNEY CENTER
Jurisdiction: WASHINGTON
Entity Type: WA NONPROFIT CORPORATION
Category: DOMESTIC ENTITY
Status: Merged
Formation/ Registration Date: January 14th 1980
Date of Dissolution: June 30th 2021
Expiration date: 31 Jan 2022
UBI Number: 601 139 768
ZIP code: 98310
City: Bremerton
County: KITSAP
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 2740 CLARE AVE, BREMERTON, WA, 98310-3330, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $375,907

Contact Details

E-Mail: JANEG@OPKC.COM
Phone Number: +1 360-479-1068

Nature of Business

COMMUNITY BASED DIALYSIS PROVIDER

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Registered Agent Information

Name Role Address
HAROLD S KELLY Registered Agent 13306 47TH PL W, MUKILTEO, WA, 98275-5853, UNITED STATES

Key Officers & Management

Name Role
TERRI MCKENZIE Governing Person
DAVID GITCH Governing Person
HAROLD KELLY Governing Person

National Provider Identifier

NPI Number:
1295142065

Authorized Person:

Name:
KATRINA A RUSSELL
Role:
COO
Phone:

Taxonomy:

Selected Taxonomy:
261QE0700X - End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
3604795787

Form 5500 Series

Employer Identification Number (EIN):
911110951
Plan Year:
2020
Number Of Participants:
64
Plan Name:
RETIREMENT PLAN
Sponsor's telephone number:
Plan Administrator / Signatory:
JANE GARITY(Plan administrator)
Plan Year:
2019
Number Of Participants:
104
Plan Name:
RETIREMENT PLAN
Sponsor's telephone number:
Plan Year:
2018
Number Of Participants:
90
Plan Name:
RETIREMENT PLAN
Sponsor's telephone number:
Plan Year:
2018
Number Of Participants:
90
Plan Name:
RETIREMENT PLAN
Sponsor's telephone number:
Plan Year:
2017
Number Of Participants:
81
Plan Name:
RETIREMENT PLAN
Sponsor's telephone number:
Plan Administrator / Signatory:
JEFF LEHMAN(Plan administrator) JEFF LEHMAN(Employer/plan sponsor)

OSHA's Inspections within Industry

Inspection Summary

Date:
1997-04-16
Type:
Planned
Address:
2740 CLARE AVE, BREMERTON, WA, 98310
Safety Health:
Health
Scope:
Complete
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