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SOUTH HILL FAMILY MEDICINE, P.C.

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Company Details

Legal Name: SOUTH HILL FAMILY MEDICINE, P.C.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: December 24th 1990
Expiration date: 31 Dec 2025
UBI Number: 601 290 482
ZIP code: 98372
City: Puyallup
County: PIERCE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 2904 4TH AVE NE, PUYALLUP, WA, 98372-7053, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $1,342,580

Contact Details

E-Mail: SFMACCOUNTING@SOUNDFAMILYMEDICINE.COM
Phone Number: +1 253-848-5951

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
RHIANNON BROVOLD Registered Agent 2904 4TH AVE NE, PUYALLUP, WA, 98372-7053, UNITED STATES

Key Officers & Management

Name Role
DARIN BLACKBURN Governing Person
SUSAN MCDONALD Governing Person
STACY MERRIFIELD Governing Person
MARC AVERSA Governing Person
DANIEL WELLS Governing Person
SEAN STOUT Governing Person
KEVIN TAGGART Governing Person
NEENA CHAWLA Governing Person
JENNIFER PENSE Governing Person
BLANCA ZUNIGA Governing Person

Unique Entity ID

Unique Entity ID:
J74YHHMN16E6
CAGE Code:
6MYZ9
UEI Expiration Date:
2026-06-05

Business Information

Activation Date:
2025-06-09
Initial Registration Date:
2012-01-20

Commercial and government entity program

CAGE number:
6MYZ9
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-06-09
CAGE Expiration:
2030-06-09
SAM Expiration:
2026-06-05

Contact Information

POC:
RHIANNON BROVOLD

National Provider Identifier

NPI Number:
1538253331
Certification Date:
2023-06-06

Authorized Person:

Name:
RHIANNON BROVOLD
Role:
DIRECTOR OF FINANCE
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2538648954

Form 5500 Series

Employer Identification Number (EIN):
911502939
Plan Year:
2009
Number Of Participants:
116
Plan Name:
401(K)
Sponsor's DBA Name:
SOUND FAMILY MEDICINE
Sponsor's telephone number:
Plan Administrator / Signatory:
MARC L. AVERSA, M.D.(Plan administrator) MARC L. AVERSA, M.D.(Employer/plan sponsor)

OSHA's Inspections within Industry

Inspection Summary

Date:
2001-01-03
Type:
Complaint
Address:
3908 10TH ST SE SUITE 200, PUYALLUP, WA, 98374
Safety Health:
Health
Scope:
Complete

Paycheck Protection Program

Jobs Reported:
212
Initial Approval Amount:
$3,173,601.87
Date Approved:
2020-04-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$3,173,601.87
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$3,208,902.76
Servicing Lender:
Umpqua Bank
Use of Proceeds:
Payroll: $3,173,601.87

Trademarks

Serial Number:
97782636
Mark:
A LIFETIME OF CARE
Status:
REGISTERED
Mark Type:
SERVICE MARK
Application Filing Date:
2023-02-06
Mark Drawing Type:
Standard character mark
Mark Literal Elements:
A LIFETIME OF CARE

Goods And Services

For:
Medical services
First Use:
2019-09-19
International Classes:
044 - Primary Class
Class Status:
Active
Serial Number:
88623308
Mark:
SOUND FAMILY MEDICINE
Status:
Registered. The registration date is used to determine when post-regi...
Mark Type:
Service Mark
Application Filing Date:
2019-09-19
Mark Drawing Type:
3 - AN ILLUSTRATION DRAWING WHICH INCLUDES WORD(S)/ LETTER(S) /NUMBER(S)
Mark Literal Elements:
SOUND FAMILY MEDICINE

Goods And Services

For:
medical services
First Use:
2020-08-07
International Classes:
044 - Primary Class
Class Status:
ACTIVE
Serial Number:
88623313
Mark:
A LIFETIME OF CARE
Status:
Abandoned because the applicant failed to respond or filed a late resp...
Mark Type:
Service Mark
Application Filing Date:
2019-09-19
Mark Drawing Type:
4 - STANDARD CHARACTER MARK
Mark Literal Elements:
A LIFETIME OF CARE

Goods And Services

For:
medical services
International Classes:
044 - Primary Class
Class Status:
ACTIVE
Serial Number:
88623271
Mark:
SOUND FAMILY MEDICINE
Status:
Registered. The registration date is used to determine when post-regi...
Mark Type:
Service Mark
Application Filing Date:
2019-09-19
Mark Drawing Type:
4 - STANDARD CHARACTER MARK
Mark Literal Elements:
SOUND FAMILY MEDICINE

Goods And Services

For:
medical services
First Use:
2002-08-06
International Classes:
044 - Primary Class
Class Status:
ACTIVE
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