PULLMAN REGIONAL HOSPITAL CLINIC NETWORK, L.L.C.

Headquarter

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Company Details

Legal Name:	PULLMAN REGIONAL HOSPITAL CLINIC NETWORK, L.L.C.
Jurisdiction:	WASHINGTON
Entity Type:	WA LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Administratively Dissolved
Formation/ Registration Date:	April 23rd 2009
Date of Dissolution:	September 3rd 2023
Expiration date:	30 Apr 2023
UBI Number:	602 918 844
ZIP code:	99163
City:	Pullman
County:	WHITMAN
Home State:	WASHINGTON
Principal Office Street Address:	835 SE BISHOP BLVD, PULLMAN, WA, 99163-5512, UNITED STATES

Contact Details

E-Mail:	STEVE.FEBUS@PULLMANREGIONAL.ORG
Phone Number:	+1 509-336-7362

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
SCOTT ADAMS	Registered Agent	835 SE BISHOP BLVD, PULLMAN, WA, 99163-5512, UNITED STATES

Key Officers & Management

Name	Role
SCOTT ADAMS	Governing Person
STEVEN FEBUS	Governing Person

Links between entities

Type:

Headquarter of

Company Number:

334052

State:

IDAHO

IDAHO profile:

PULLMAN REGIONAL HOSPITAL CLINIC NETWORK, L.L.C. (ID)

Type:

Headquarter of

Company Number:

545535

State:

IDAHO

IDAHO profile:

PULLMAN REGIONAL HOSPITAL CLINIC NETWORK, L.L.C. (ID)

National Provider Identifier

NPI Number:

1710218839

Link:

View on NPI website

Authorized Person:

Name:

GROVER (PETE) C PETERS III

Role:

CLINIC ADMINISTRATOR

Phone:

5093367647

Taxonomy:

Selected Taxonomy:

207Y00000X - Otolaryngology Physician

Is Primary:

Yes

Contacts:

Phone:

+1 509-334-5876

Fax:

5093328793

Form 5500 Series

Employer Identification Number (EIN):

264753661

Plan Year:

2023

Number Of Participants:

130

Plan Name:

401(K)

Sponsor's telephone number:

5093367525

File:

Plan Administrator / Signatory:

MATT FORGE(Plan administrator)

Plan Year:

2023

Number Of Participants:

31

Plan Name:

401(K)

Sponsor's telephone number:

5093322541

File:

Plan Administrator / Signatory:

MATT FORGE(Plan administrator)

Plan Year:

2022

Number Of Participants:

120

Plan Name:

401(K)

Sponsor's telephone number:

5093367525

File:

Plan Administrator / Signatory:

MATT FORGE(Plan administrator)

Plan Year:

2021

Number Of Participants:

75

Plan Name:

401(K)

Sponsor's telephone number:

5093367525

File:

Plan Administrator / Signatory:

SCOTT ADAMS(Plan administrator)

Plan Year:

2020

Number Of Participants:

97

Plan Name:

401(K)

Sponsor's telephone number:

5093367525

File:

Plan Administrator / Signatory:

SCOTT ADAMS(Plan administrator)

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