Menu
Search icon

ST. JOHN'S EMERGENCY PHYSICIANS, INC., P.S.

Company claim

Is this your business?

Get access!

Company Details

Legal Name: ST. JOHN'S EMERGENCY PHYSICIANS, INC., P.S.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: March 10th 1989
Date of Dissolution: August 3rd 2023
Expiration date: 31 Mar 2023
UBI Number: 601 167 252
ZIP code: 98629
City: La Center
County: CLARK
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 34400 NE LESTER AVE, LA CENTER, WA, 98629-3413, UNITED STATES

Contact Details

E-Mail: TROTZEN@GMAIL.COM
Phone Number: +1 360-263-4928

Nature of Business

Health Care, Social Assistance & Service Organization, Professional, Scientific & Technical Services

Reviews Leave a review

Be the first to leave a review!

Registered Agent Information

Name Role Address
ST. JOHN'S EMERGENCY PHYSICIANS, PS Registered Agent 34400 NE LESTER AVE, LA CENTER, WA, 98629-3413, UNITED STATES

Key Officers & Management

Name Role
RUSTY GUST Governing Person
GLENN HEIMBURGER Governing Person
RODERICK BEAVER Governing Person
THEODORE LESLIE Governing Person
MARC KRANZ Governing Person
JOSEF TURNER Governing Person
SHANNON LUCAS Governing Person
BENJAMIN RADER Governing Person
JEFFREY SHUSTER Governing Person
ALLISON BAIL Governing Person

National Provider Identifier

NPI Number:
1154354660
Certification Date:
2020-04-05
Link:
View on NPI website

Authorized Person:

Name:
DR. RODERICK W. BEAVER
Role:
PRESIDENT
Phone:
3604480587

Taxonomy:

Selected Taxonomy:
207P00000X - Emergency Medicine Physician
Is Primary:
Yes

Contacts:

Phone:
+1 626-447-0296
Phone:
+1 360-414-2000

Form 5500 Series

Employer Identification Number (EIN):
911442850
Plan Year:
2022
Number Of Participants:
27
Sponsor's telephone number:
4803632748
File:
View File
Plan Administrator / Signatory:
GLENN HEIMBURGER(Plan administrator)
Plan Year:
2022
Number Of Participants:
27
Sponsor's telephone number:
4803632748
File:
View File
Plan Administrator / Signatory:
GLENN HEIMBURGER(Plan administrator) GLENN HEIMBURGER(Employer/plan sponsor)
Plan Year:
2021
Number Of Participants:
28
Sponsor's telephone number:
4803632748
File:
View File
Plan Administrator / Signatory:
GLENN HEIMBURGER(Plan administrator)
Plan Year:
2020
Number Of Participants:
28
Sponsor's telephone number:
4803632748
Plan Administrator / Signatory:
GLENN HEIMBURGER(Plan administrator) GLENN HEIMBURGER(Employer/plan sponsor)
Plan Year:
2020
Number Of Participants:
28
Sponsor's telephone number:
4803632748
File:
View File
Plan Administrator / Signatory:
GLENN HEIMBURGER(Plan administrator) GLENN HEIMBURGER(Employer/plan sponsor)
See something incorrect or outdated? Let us know
Privacy policy Policy
About us About us Disclaimer Sources of Data Business Directory
Contacts Contact us

© 2025 waprofile.com