SOUTHWEST WASHINGTON REGIONAL SURGERY CENTER, L.L.C.

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Company Details

Legal Name:	SOUTHWEST WASHINGTON REGIONAL SURGERY CENTER, L.L.C.
Jurisdiction:	WASHINGTON
Entity Type:	WA LIMITED LIABILITY COMPANY
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	July 24th 1998
Expiration date:	31 Jul 2025
UBI Number:	601 892 553
ZIP code:	98664
City:	Vancouver
County:	CLARK
Home State:	WASHINGTON
Principal Office Street Address:	200 NE MOTHER JOSEPH PL STE 200, VANCOUVER, WA, 98664-3294, UNITED STATES
Supporting healthcare providers fighting with COVID-19:	$825,294

Contact Details

E-Mail:	DKLUCEVEK@REBOUNDMD.COM
Phone Number:	+1 503-970-8186

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
DOUG KLUCEVEK	Registered Agent	200 NE MOTHER JOSEPH PL #200, VANCOUVER, WA, 98664-0000, UNITED STATES

Key Officers & Management

Name	Role
SURGICAL SPECIALIST INVENTSTMENTS, LLC	Governing Person
DOUG KLUCEVEK	Governing Person

National Provider Identifier

NPI Number:

1366536880

Link:

View on NPI website

Authorized Person:

Name:

MS. PATRICIA ANN TROWBRIDGE

Role:

BUSINESS OFFICE MANAGER

Phone:

3604496309

Taxonomy:

Selected Taxonomy:

261QA1903X - Ambulatory Surgical Clinic/Center

Is Primary:

Yes

Contacts:

Phone:

+1 360-449-6300

Fax:

3604496370

Form 5500 Series

Employer Identification Number (EIN):

911959910

Plan Year:

2023

Number Of Participants:

95

Plan Name:

401(K)

Sponsor's telephone number:

3604498284

File:

Plan Administrator / Signatory:

CHRISTINA MILLER(Plan administrator)

Plan Year:

2022

Number Of Participants:

97

Plan Name:

401(K)

Sponsor's telephone number:

3604498284

File:

Plan Administrator / Signatory:

CHRISTINA MILLER(Plan administrator)

Plan Year:

2021

Number Of Participants:

90

Plan Name:

401(K)

Sponsor's telephone number:

3604498284

File:

Plan Administrator / Signatory:

CHRISTINA MILLER(Plan administrator)

Plan Year:

2020

Number Of Participants:

88

Plan Name:

401(K)

Sponsor's telephone number:

3604498284

File:

Plan Administrator / Signatory:

CHRISTINA MILLER(Plan administrator)

Plan Year:

2019

Number Of Participants:

78

Plan Name:

401(K)

Sponsor's telephone number:

3604498284

File:

Plan Administrator / Signatory:

CHRISTINA MILLER(Plan administrator)

Paycheck Protection Program

Jobs Reported:

87

Initial Approval Amount:

$1,291,493

Date Approved:

2020-04-28

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$1,291,493

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$1,299,171.19

Servicing Lender:

Umpqua Bank

Use of Proceeds:

Payroll: $1,291,493

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