PEACEHEALTH SOUTHWEST MEDICAL CENTER

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Company Details

Legal Name:	PEACEHEALTH SOUTHWEST MEDICAL CENTER
Jurisdiction:	WASHINGTON
Entity Type:	WA NONPROFIT CORPORATION
Category:	DOMESTIC ENTITY
Status:	Inactive
Formation/ Registration Date:	July 20th 1966
Expiration date:	31 Jul 2013
UBI Number:	600 250 191
Supporting healthcare providers fighting with COVID-19:	$36,280,006

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Registered Agent Information

Name	Role	Address
CRAIG RARMSTRONG	Registered Agent	1115 SE 164TH AVENUE, VANCOUVER, WA, 98683, UNITED STATES

Key Officers & Management

Name	Role	Address
JUDI BRENES	Governing Person	PO BOX 1600, VANCOUVER, WA, 98668, UNITED STATES
DAVID WILLIE	Governing Person	PO BOX 1600, VANCOUVER, WA, 98668, UNITED STATES
JOSEPH KORTUM	Governing Person	PO BOX 1600, VANCOUVER, WA, 98668, UNITED STATES
RONALD PRILL	Governing Person	PO BOX 1600, VANCOUVER, WA, 98668, UNITED STATES
* ADDITIONAL NAMES ON FILE	Governing Person	PO BOX 1600, VANCOUVER, WA, 98668, UNITED STATES

Unique Entity ID

CAGE Code:

62CP3

UEI Expiration Date:

2020-12-29

Business Information

Activation Date:

2019-12-30

Initial Registration Date:

2010-07-14

National Provider Identifier

NPI Number:

1548734205

Link:

View on NPI website

Authorized Person:

Name:

KIMBERLY A HODGKINSON

Role:

EVP/CFO

Phone:

3607291145

Taxonomy:

Selected Taxonomy:

273Y00000X - Rehabilitation Hospital Unit

Is Primary:

Yes

Contacts:

Phone:

+1 360-729-1041

Fax:

3605017565

Phone:

+1 360-514-3294

Fax:

3605143185

Form 5500 Series

Employer Identification Number (EIN):

916068143

Plan Year:

2012

Number Of Participants:

3225

Sponsor's telephone number:

3605142097

File:

View File

Plan Administrator / Signatory:

CHRISTINE FULLERTON(Plan administrator)

Plan Year:

2011

Number Of Participants:

3027

Sponsor's telephone number:

3605142097

File:

View File

Plan Administrator / Signatory:

CHRISTINE FULLERTON(Plan administrator)

Plan Year:

2010

Number Of Participants:

3102

Sponsor's telephone number:

3605142097

File:

View File

Plan Administrator / Signatory:

CHRISTINE FULLERTON(Plan administrator)

Plan Year:

2010

Number Of Participants:

3102

Sponsor's telephone number:

3605142097

Plan Administrator / Signatory:

CHRISTINE FULLERTON(Employer/plan sponsor)

OSHA's Inspections within Industry

Inspection Summary

Date:

2013-11-21

Type:

Accident

Address:

400 NE MOTHER JOSEPH PLACE, VANCOUVER, WA, 98664

Safety Health:

Safety

Scope:

Partial

Inspection Link:

View Inspection data on OSHA website

Trademarks

Serial Number:

78820527

Mark:

THE RAY HICKEY HOSPICE HOUSE

Status:

Registration cancelled because registrant did not file an acceptable d...

Mark Type:

Service Mark

Application Filing Date:

2006-02-22

Mark Drawing Type:

4 - STANDARD CHARACTER MARK

Mark Literal Elements:

THE RAY HICKEY HOSPICE HOUSE

USPTO Link:

View Trademark on United States Patent and Trademark Office Website

Goods And Services

For:

Hospice services

First Use:

2004-05-01

International Classes:

044 - Primary Class

Class Status:

SECTION 8 - CANCELLED

Serial Number:

78401280

Mark:

MUM'S THE WORD

Status:

Registration cancelled because registrant did not file an acceptable d...

Mark Type:

Service Mark

Application Filing Date:

2004-04-13

Mark Drawing Type:

4 - STANDARD CHARACTER MARK

Mark Literal Elements:

MUM'S THE WORD

USPTO Link:

View Trademark on United States Patent and Trademark Office Website

Goods And Services

For:

Promoting public awareness of the need for patient confidentiality in the health care field

First Use:

1988-10-16

International Classes:

035 - Primary Class

Class Status:

SECTION 8 - CANCELLED

Serial Number:

78385432

Mark:

HOMECARE SOUTHWEST

Status:

Registration cancelled because registrant did not file an acceptable d...

Mark Type:

Service Mark

Application Filing Date:

2004-03-16

Mark Drawing Type:

4 - STANDARD CHARACTER MARK

Mark Literal Elements:

HOMECARE SOUTHWEST

USPTO Link:

View Trademark on United States Patent and Trademark Office Website

Goods And Services

For:

Health care services

First Use:

1991-07-19

International Classes:

044 - Primary Class

Class Status:

SECTION 8 - CANCELLED

Serial Number:

76332153

Mark:

SOUTHWEST WASHINGTON MEDICAL CENTER

Status:

Registration cancelled because registrant did not file an acceptable d...

Mark Type:

Service Mark

Application Filing Date:

2001-10-31

Mark Drawing Type:

3 - AN ILLUSTRATION DRAWING WHICH INCLUDES WORD(S)/ LETTER(S) /NUMBER(S)

Mark Literal Elements:

SOUTHWEST WASHINGTON MEDICAL CENTER

USPTO Link:

View Trademark on United States Patent and Trademark Office Website

Goods And Services

For:

Health care services

First Use:

2001-05-08

International Classes:

042 - Primary Class

Class Status:

SECTION 8 - CANCELLED

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PEACEHEALTH SOUTHWEST MEDICAL CENTER

Is this your business?

Company Details

Reviews Leave a review

Registered Agent Information

Key Officers & Management

Unique Entity ID

Business Information

National Provider Identifier

Authorized Person:

Taxonomy:

Contacts:

Form 5500 Series

OSHA's Inspections within Industry

Inspection Summary

Trademarks

Goods And Services

Goods And Services

Goods And Services

Goods And Services

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