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SURGERY CENTER OF SILVERDALE, LLC

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Company Details

Legal Name: SURGERY CENTER OF SILVERDALE, LLC
Jurisdiction: WASHINGTON
Entity Type: WA LIMITED LIABILITY COMPANY
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: March 2nd 2005
Expiration date: 31 Mar 2026
UBI Number: 602 478 678
ZIP code: 98383
City: Silverdale
County: KITSAP
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 9800 LEVIN RD NW, STE 102, SILVERDALE, WA, 98383-7849, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $391,798

Contact Details

E-Mail: BLREITER@SILVERDALEASC.COM
Phone Number: +1 360-692-2728

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
ADMINISTRATOR Registered Agent 9800 LEVIN RD NW # 102, SILVERDALE, WA, 98383-0000, UNITED STATES

Key Officers & Management

Name Role Address
MARTHA LEEN Governing Person -
CHRISTOPHER HUNT Governing Person -
KEVIN PIEPER Governing Person -
SETH BRICEL Governing Person -
THOMAS WIXTED Governing Person -
MATTHEW SHERER Governing Person -
TODD SCHNEIDERMAN MD EXECUTOR 4925 NE TOLO RD, BAINBRIDGE ISLAND, WA, 98110, UNITED STATES

National Provider Identifier

NPI Number:
1467515015
Certification Date:
2020-10-23
Link:
View on NPI website

Authorized Person:

Name:
DR. BLAKE REITER
Role:
AUTHORIZED OFFICIAL
Phone:
3606922728

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Phone:
+1 360-692-2728
Fax:
3606926009

Form 5500 Series

Employer Identification Number (EIN):
202974934
Plan Year:
2018
Number Of Participants:
31
Sponsor's telephone number:
3606922728
File:
View File
Plan Administrator / Signatory:
MARIE YARBOROUGH(Plan administrator)
Plan Year:
2017
Number Of Participants:
34
Sponsor's telephone number:
3606922728
File:
View File
Plan Administrator / Signatory:
MARIE YARBOROUGH(Plan administrator)
Plan Year:
2016
Number Of Participants:
37
Sponsor's telephone number:
3606922728
File:
View File
Plan Administrator / Signatory:
MARIE YARBOROUGH(Plan administrator)
Plan Year:
2015
Number Of Participants:
21
Sponsor's telephone number:
3606922728
File:
View File
Plan Administrator / Signatory:
RICHARD BONENFANT(Plan administrator)
Plan Year:
2013
Number Of Participants:
38
Sponsor's telephone number:
3606922728
File:
View File
Plan Administrator / Signatory:
RICK BONENFANT(Plan administrator)

OSHA's Inspections within Industry

Inspection Summary

Date:
2012-06-18
Type:
Referral
Address:
9800 LEVIN ROSD, SUITE 102, SILVERDALE, WA, 98383
Safety Health:
Health
Scope:
Partial
Inspection Link:
View Inspection data on OSHA website

Paycheck Protection Program

Jobs Reported:
29
Initial Approval Amount:
$116,137
Date Approved:
2020-04-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$291,137.17
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$292,886.12
Servicing Lender:
Umpqua Bank
Use of Proceeds:
Payroll: $291,137.17
Jobs Reported:
30
Initial Approval Amount:
$247,522
Date Approved:
2021-01-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$247,522
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$248,688.41
Servicing Lender:
Umpqua Bank
Use of Proceeds:
Payroll: $247,518
Utilities: $1
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