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THE IDA KARLIN PEDIATRIC CENTER

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Company Details

Legal Name: THE IDA KARLIN PEDIATRIC CENTER
Jurisdiction: WASHINGTON
Entity Type: WA NONPROFIT CORPORATION
Category: DOMESTIC ENTITY
Status: Administratively Dissolved
Formation/ Registration Date: December 1st 2014
Date of Dissolution: May 3rd 2018
Expiration date: 31 Dec 2017
UBI Number: 603 458 710
FEIN Number: 30-0848480
Purpose: To provide a range of quality healthcare services for underserved children.
ZIP code: 98371
City: Puyallup
County: PIERCE
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 319 5TH ST SW, PUYALLUP, WA, 98371, UNITED STATES

Contact Details

Website: www.idakarlincenter.com
Phone Number: +1 253-848-0351

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Registered Agent Information

Name Role Address
JOSIAH PENALVER Registered Agent 319 5TH ST SW, PUYALLUP, WA, 98371-5828, UNITED STATES

Key Officers & Management

Name Role Address
JOSIAH PENALVER Governing Person 319 5TH ST SW, PUYALLUP, WA, 98371, UNITED STATES
MEG PENALVER Governing Person 319 5TH ST. SW, PUYALLUP, WA, 98371, UNITED STATES
LAURA PENALVER-VARGAS PSYD Governing Person 319 5TH ST SW, PUYALLUP, WA, 98371, UNITED STATES
OVIDIO PENALVER MD Governing Person 319 5TH ST SW, PUYALLUP, WA, 98371, UNITED STATES
Ovidio Penalver Dir -
Laura Vargas Dir -

National Provider Identifier

NPI Number:
1366657918

Authorized Person:

Name:
OVIDIO PENALVER
Role:
CORPORATE OFFICER, PROVIDER
Phone:

Taxonomy:

Selected Taxonomy:
101Y00000X - Counselor
Is Primary:
No
Selected Taxonomy:
363LP0200X - Pediatric Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
103T00000X - Psychologist
Is Primary:
No
Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
Yes

Contacts:

Fax:
2538411397

Charity/Fundraiser/Trust

Registration Number:
1138313
Type:
CHARITABLE ORGANIZATION
Status:
Involuntarily Closed
Renewal Date:
2017-11-30

Financial History

Fiscal Begin Date:
2015-01-01
Fiscal End Date:
2015-12-31
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