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PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA

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Company Details

Legal Name: PROVIDENCE HEALTH SYSTEM - SOUTHERN CALIFORNIA
Jurisdiction: WASHINGTON
Entity Type: FOREIGN NONPROFIT CORPORATION
Category: FOREIGN ENTITY
Status: Active
Formation/ Registration Date: September 11th 2023
Expiration date: 30 Sep 2025
UBI Number: 604 080 872
ZIP code: 98057
City: Renton
County: KING
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 1801 LIND AVE SW, RENTON, WA, 98057-3368, UNITED STATES

Contact Details

E-Mail: ELENI.MARANTIDIS@PROVIDENCE.ORG

Nature of Business

HEALTHCARE SERVICES

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Registered Agent Information

Name Role
C T CORPORATION SYSTEM Registered Agent

Key Officers & Management

Name Role
MARY BETH KINGSTON Governing Person
MARY LYONS Governing Person
CAROL PACINI, LCM, SR Governing Person
CHARLES SORENSON, MD Governing Person
ERIC SPRUNK Governing Person
DONNA MARKHAM Governing Person
MARVIN O'QUINN Governing Person
JAMES D. WATSON Governing Person
PYHLLIS HUGHES, RSM,DR. PH, SR. Governing Person
GREGORY HOFFMAN Governing Person

Tax Exempt

Employer Identification Number (EIN):
51-0216589
Ruling Date:
1946-03

Copies of Returns

Return Type:
990T
Tax Period:
202212
Return Type:
990
Tax Period:
202212
Link:
Return Type:
990
Tax Period:
202112
Link:

Labor Condition Applications

Case Number:
I-200-22164-275568
Program:
H-1B
Job Title:
Genetic Counselor Supervisor
SOC (ONET/OES) code:
29-9092.00
SOC (ONET/OES) occupation title:
Genetic Counselors
Begin Date:
2022-11-25
End Date:
2025-11-24

Employment and Wage Information

Address:
181 South Buena Vista St., Burbank, LOS ANGELES, CA, 91505
Wage Rate Paid to Nonimmigrant Workers:
$38.74
Per:
Hour
Prevailing Wage Rate:
$38.74
Case Number:
I-200-22066-956281
Program:
H-1B
Job Title:
Executive Director - Quality
SOC (ONET/OES) code:
11-9111.00
SOC (ONET/OES) occupation title:
Medical and Health Services Managers
Begin Date:
2022-04-04
End Date:
2025-04-03

Employment and Wage Information

Address:
101 East Valencia Mesa Drive, Fullerton, ORANGE, CA, 92835
Wage Rate Paid to Nonimmigrant Workers:
$174,450
Per:
Year
Prevailing Wage Rate:
$174,450
Case Number:
I-200-19323-154733
Program:
H-1B
Job Title:
Genetic Counselor
SOC (ONET/OES) code:
29-9092.00
SOC (ONET/OES) occupation title:
Genetic Counselors
Begin Date:
2019-11-25
End Date:
2022-11-24

Employment and Wage Information

Address:
Providence St. Joseph Medical Center, 501 S Buena Vista Street, Burbank, LOS ANGELES, CA
Wage Rate Paid to Nonimmigrant Workers:
$62,500
Per:
Year
Prevailing Wage Rate:
$62,442
Case Number:
I-200-18234-956545
Program:
H-1B
Job Title:
NEUROINTERVENTIONAL RADIOLOGIST
SOC (ONET/OES) code:
29-1069
SOC (ONET/OES) occupation title:
PHYSICIANS AND SURGEONS, ALL OTHER
Begin Date:
2018-09-07
End Date:
2021-09-06

Employment and Wage Information

Address:
MISSION HILLS, SANTA BARBARA, CA, 91345
Wage Rate Paid to Nonimmigrant Workers:
$530,000
Per:
Year
Prevailing Wage Rate:
$237,890
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