THE TRI-CITIES CANCER CENTER

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Company Details

Legal Name:	THE TRI-CITIES CANCER CENTER
Jurisdiction:	WASHINGTON
Entity Type:	WA NONPROFIT CORPORATION
Category:	DOMESTIC ENTITY
Status:	Merged
Formation/ Registration Date:	February 12th 1993
Date of Dissolution:	March 16th 2021
Expiration date:	28 Feb 2022
UBI Number:	601 444 547
ZIP code:	99336
City:	Kennewick
County:	BENTON
Home State:	WASHINGTON
Principal Office Street Address:	7350 WEST DESCHUTES AVE., KENNEWICK, WA, 99336, UNITED STATES
Principal Office Mailing Address:	7350 W DESCHUTES AVE, KENNEWICK, WA, 99336-7802, UNITED STATES

Contact Details

E-Mail:	ADMIN@TCCANCER.ORG
Phone Number:	+1 509-783-9894

Nature of Business

Charitable

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Registered Agent Information

Name	Role	Address
TRI-CITIES CANCER CENTER	Registered Agent	7350 W DESCHUTES AVE, KENNEWICK, WA, 99336-0000, UNITED STATES

Key Officers & Management

Name	Role
SUSAN KREID	Governing Person
DR. BASIR HAQUE	Governing Person
PHILLIP GALLAGHER	Governing Person
REEZA KALEEL	Governing Person

National Provider Identifier

NPI Number:

1013991652

Certification Date:

2020-08-06

Link:

View on NPI website

Authorized Person:

Name:

MR. CHARLES W DEGOOYER

Role:

CEO

Phone:

5097839894

Taxonomy:

Selected Taxonomy:

2085R0001X - Radiation Oncology Physician

Is Primary:

Yes

Contacts:

Phone:

+1 509-783-9894

Fax:

5097833194

Form 5500 Series

Employer Identification Number (EIN):

911594526

Plan Year:

2020

Number Of Participants:

62

Plan Name:

401(K)

Sponsor's telephone number:

5097373409

File:

Plan Administrator / Signatory:

MICHELE CARON(Plan administrator)

Plan Year:

2019

Number Of Participants:

62

Plan Name:

401(K)

Sponsor's telephone number:

5097373409

File:

Plan Administrator / Signatory:

CHARLES DEGOOYER(Plan administrator) CHARLES DEGOOYER(Employer/plan sponsor)

Plan Year:

2018

Number Of Participants:

60

Plan Name:

401(K)

Sponsor's telephone number:

5097373409

File:

Plan Administrator / Signatory:

CHARLES DEGOOYER(Plan administrator) CHARLES DEGOOYER(Employer/plan sponsor)

Plan Year:

2017

Number Of Participants:

57

Plan Name:

401(K)

Sponsor's telephone number:

5097373409

File:

Plan Administrator / Signatory:

CHARLES DEGOOYER(Plan administrator) CHARLES DEGOOYER(Employer/plan sponsor)

Plan Year:

2016

Number Of Participants:

51

Plan Name:

401(K)

Sponsor's telephone number:

5097373409

File:

Plan Administrator / Signatory:

CHARLES DEGOOYER(Plan administrator)

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