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TRI-CITY ORTHOPAEDIC CLINIC, P.S.C.

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Company Details

Legal Name: TRI-CITY ORTHOPAEDIC CLINIC, P.S.C.
Jurisdiction: WASHINGTON
Entity Type: WA PROFESSIONAL SERVICE CORPORATION
Category: DOMESTIC ENTITY
Status: Active
Formation/ Registration Date: October 10th 1997
Expiration date: 31 Oct 2025
UBI Number: 601 824 458
ZIP code: 99336
City: Kennewick
County: BENTON
Home State: WASHINGTON
Principal Office Street Address: Google Maps Logo 6703 W RIO GRANDE AVE, KENNEWICK, WA, 99336-2623, UNITED STATES
Supporting healthcare providers fighting with COVID-19: $945,590

Contact Details

E-Mail: CMERTENS@MMCLEGAL.NET
Phone Number: +1 509-374-4200

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name Role Address
CHRISTOPHER MERTENS Registered Agent 1020 N CENTER PKWY, SUITE B, KENNEWICK, WA, 99336-7161, UNITED STATES

Key Officers & Management

Name Role
FAUSTIN STEVENS Governing Person
JOHNATHAN PERRY Governing Person
MARK MERRELL Governing Person
UEL HANSEN Governing Person
JUDD FITZGERALD Governing Person

National Provider Identifier

NPI Number:
1407226590
Certification Date:
2022-03-15

Authorized Person:

Name:
MARK R MERRELL
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207X00000X - Orthopaedic Surgery Physician
Is Primary:
No
Selected Taxonomy:
261QR0400X - Rehabilitation Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
5097835438

Form 5500 Series

Employer Identification Number (EIN):
911866685
Plan Year:
2021
Number Of Participants:
175
Sponsor's telephone number:
Plan Administrator / Signatory:
CHRISTINE HATFIELD(Plan administrator)
Plan Year:
2021
Number Of Participants:
175
Sponsor's telephone number:
Plan Administrator / Signatory:
CHRISTINE HATFIELD(Plan administrator)
Plan Year:
2021
Number Of Participants:
175
Sponsor's telephone number:
Plan Administrator / Signatory:
CHRISTINE HATFIELD(Plan administrator)
Plan Year:
2021
Number Of Participants:
175
Sponsor's telephone number:
Plan Administrator / Signatory:
CHRISTINE HATFIELD(Plan administrator)
Plan Year:
2021
Number Of Participants:
175
Sponsor's telephone number:
Plan Administrator / Signatory:
CHRISTINE HATFIELD(Plan administrator)

Paycheck Protection Program

Jobs Reported:
91
Initial Approval Amount:
$2,009,900
Date Approved:
2020-04-07
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$2,009,900
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$2,036,587.01
Servicing Lender:
Community First Bank
Use of Proceeds:
Payroll: $2,009,900
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