THREE RIVERS FAMILY MEDICINE, P.S.C.

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Company Details

Legal Name:	THREE RIVERS FAMILY MEDICINE, P.S.C.
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL SERVICE CORPORATION
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	December 6th 2000
Expiration date:	31 Dec 2025
UBI Number:	602 082 656
ZIP code:	99352
City:	Richland
County:	BENTON
Home State:	WASHINGTON
Principal Office Street Address:	945 GOETHALS DR STE 300, RICHLAND, WA, 99352-3552, UNITED STATES
Supporting healthcare providers fighting with COVID-19:	$93,826

Contact Details

E-Mail:	MGR@3RIVERSMEDICINE.COM
Phone Number:	+1 509-943-3196

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
DR MICHAEL PATTILLO	Registered Agent	945 GOETHALS DR STE 300, RICHLAND, WA, 99352-3552, UNITED STATES

Key Officers & Management

Name	Role	Address
JULIE RAEKES MD	Governing Person	251 BROOKWOOD LOOP, RICHLAND, WA, 99352, UNITED STATES
MATTHEW LAWRENCE MD	Governing Person	2607 APPALOOSA WAY, RICHLAND, WA, 99352, UNITED STATES
MICHAEL A BENEDICT, MD	Governing Person	2858 KYLE ROAD, KENNEWICK, WA, 99338, UNITED STATES
MICHAEL PATTILLO MD	Governing Person	17437 FAIRVIEW LOOP, KENNEWICK, WA, 99338, UNITED STATES

National Provider Identifier

NPI Number:

1740471507

Link:

View on NPI website

Authorized Person:

Name:

PAM VANOUREK

Role:

PRACTICE MANAGER

Phone:

5099432366

Taxonomy:

Selected Taxonomy:

207Q00000X - Family Medicine Physician

Is Primary:

Yes

Contacts:

Phone:

+1 509-943-3196

Form 5500 Series

Employer Identification Number (EIN):

912090021

Plan Year:

2024

Number Of Participants:

57

Plan Name:

401(K)

Sponsor's telephone number:

5099433196

File:

Plan Year:

2023

Number Of Participants:

54

Plan Name:

401(K)

Sponsor's telephone number:

5099433196

File:

Plan Year:

2022

Number Of Participants:

20

Plan Name:

401(K)

Sponsor's telephone number:

5099433196

File:

Plan Year:

2021

Number Of Participants:

41

Plan Name:

401(K)

Sponsor's telephone number:

5099433196

File:

Plan Administrator / Signatory:

JULIE RAEKES(Plan administrator)

Plan Year:

2020

Number Of Participants:

47

Plan Name:

401(K)

Sponsor's telephone number:

5099433196

File:

Plan Administrator / Signatory:

JULIE RAEKES(Plan administrator)

Paycheck Protection Program

Jobs Reported:

45

Initial Approval Amount:

$592,300

Date Approved:

2021-02-24

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$592,300

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$595,788.89

Servicing Lender:

Washington Trust Bank

Use of Proceeds:

Payroll: $592,300

Jobs Reported:

45

Initial Approval Amount:

$592,300

Date Approved:

2020-04-08

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$592,300

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$599,504.96

Servicing Lender:

Washington Trust Bank

Use of Proceeds:

Payroll: $592,300

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