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PALOUSE SPECIALTY PHYSICIANS, P.S.

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Company Details

Legal Name: PALOUSE SPECIALTY PHYSICIANS, P.S.
Jurisdiction: WASHINGTON
Entity Type: WA NONPROFIT PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: February 28th 2014
Expiration date: 28 Feb 2026
UBI Number: 603 380 246
ZIP code: 99163
City: Pullman
County: WHITMAN
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 825 SE BISHOP BLVD, SUITE 601, PULLMAN, WA, 99163, UNITED STATES

Contact Details

E-Mail: CLS-CTARMSEVIDENCE@WOLTERSKLUWER.COM

Nature of Business

MEDICAL OFFICE

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Registered Agent Information

Name Role
C T CORPORATION SYSTEM Registered Agent

Key Officers & Management

Name Role
SONYA SPRAUL Governing Person
LINDY WELLS Governing Person
MATT FORGE Governing Person
KARA BESST Governing Person
HANK HANNIGAN Governing Person

Links between entities

Type:
Headquarter of
Company Number:
5998259
State:
IDAHO
IDAHO profile:
PALOUSE SPECIALTY PHYSICIANS, P.S. (ID)

National Provider Identifier

NPI Number:
1760889265
Certification Date:
2024-11-19
Link:
View on NPI website

Authorized Person:

Name:
SACHA L SMITH
Role:
DIR OF OPERATIONS
Phone:
5093323488

Taxonomy:

Selected Taxonomy:
231H00000X - Audiologist
Is Primary:
No
Selected Taxonomy:
207Y00000X - Otolaryngology Physician
Is Primary:
Yes

Contacts:

Phone:
+1 509-332-6139
Fax:
5093326579
Phone:
+1 509-334-5876
Fax:
5093328793

Form 5500 Series

Employer Identification Number (EIN):
465044508
Plan Year:
2023
Number Of Participants:
72
Plan Name:
401(K)
Sponsor's telephone number:
5093345876
File:
View File
Plan Year:
2022
Number Of Participants:
85
Plan Name:
401(K)
Sponsor's telephone number:
5093345876
File:
View File
Plan Year:
2021
Number Of Participants:
62
Plan Name:
401(K)
Sponsor's telephone number:
5093345876
File:
View File
Plan Year:
2020
Number Of Participants:
39
Plan Name:
401(K)
Sponsor's telephone number:
5093345876
File:
View File
Plan Year:
2019
Number Of Participants:
20
Plan Name:
401(K)
Sponsor's telephone number:
5093345876
File:
View File
Plan Administrator / Signatory:
SACHA SMITH(Plan administrator)

Labor Condition Applications

Case Number:
I-200-19077-096818
Program:
H-1B
Job Title:
NEUROLOGY PHYSICIAN
SOC (ONET/OES) code:
29-1069
SOC (ONET/OES) occupation title:
PHYSICIANS AND SURGEONS, ALL OTHER
Begin Date:
2019-07-01
End Date:
2022-07-01

Employment and Wage Information

Address:
2400 West A Street, Moscow, Latah, IDAHO, 83843
Wage Rate Paid to Nonimmigrant Workers:
$303,000
Per:
Year
Prevailing Wage Rate:
$124,946
Case Number:
I-200-17006-480502
Program:
H-1B
Job Title:
AUDIOLOGIST
SOC (ONET/OES) code:
29-1181
SOC (ONET/OES) occupation title:
AUDIOLOGISTS
Begin Date:
2017-02-15
End Date:
2020-02-15

Employment and Wage Information

Address:
PULLMAN, WHITMAN, WA, 99163
Wage Rate Paid to Nonimmigrant Workers:
$75,000
Per:
Year
Prevailing Wage Rate:
$62,691
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