WHITMAN MEDICAL GROUP, P.S.

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Company Details

Legal Name:	WHITMAN MEDICAL GROUP, P.S.
Jurisdiction:	WASHINGTON
Entity Type:	WA PROFESSIONAL SERVICE CORPORATION
Category:	DOMESTIC ENTITY
Status:	Active
Formation/ Registration Date:	September 21st 1994
Expiration date:	30 Sep 2026
UBI Number:	601 578 285
ZIP code:	99111
City:	Colfax
County:	WHITMAN
Home State:	WASHINGTON
Principal Office Street Address:	1210 W FAIRVIEW ST, COLFAX, WA, 99111-9552, UNITED STATES
Supporting healthcare providers fighting with COVID-19:	$122,225

Contact Details

E-Mail:	JBROECKEL@WHITMANMEDICAL.NET
Phone Number:	+1 509-397-4717

Nature of Business

Health Care, Social Assistance & Service Organization

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Registered Agent Information

Name	Role	Address
GOVIND SINGH	Registered Agent	1210 W FAIRVIEW ST, COLFAX, WA, 99111-0000, UNITED STATES

Key Officers & Management

Name	Role
GOVIND SINGH	Governing Person
MARK PARSONS	Governing Person
GARY CANDELARIA	Governing Person
JENNIFER BROECKEL	Governing Person
PETER EDMINSTER	Governing Person
MARGARET LELAND	Governing Person
ZACHARY MILCAWICH	Governing Person

National Provider Identifier

NPI Number:

1730289596

Link:

View on NPI website

Authorized Person:

Name:

NATHAN JAMES HYMAS

Role:

ADMINISTRATOR

Phone:

5093974717

Taxonomy:

Selected Taxonomy:

207Q00000X - Family Medicine Physician

Is Primary:

Yes

Contacts:

Phone:

+1 509-397-4717

Fax:

5093973501

Form 5500 Series

Employer Identification Number (EIN):

911651730

Plan Year:

2023

Number Of Participants:

45

Sponsor's telephone number:

5093974717

File:

Plan Year:

2022

Number Of Participants:

47

Sponsor's telephone number:

5093974717

File:

Plan Administrator / Signatory:

JENNIFER BROECKEL(Plan administrator)

Plan Year:

2021

Number Of Participants:

51

Sponsor's telephone number:

5093974717

File:

Plan Administrator / Signatory:

JENNIFER BROECKEL(Plan administrator)

Plan Year:

2020

Number Of Participants:

48

Sponsor's telephone number:

5093974717

File:

Plan Administrator / Signatory:

JENNIFER BROECKEL(Plan administrator)

Plan Year:

2019

Number Of Participants:

60

Sponsor's telephone number:

5093974717

File:

Plan Administrator / Signatory:

JENNIFER BROECKEL(Plan administrator)

Labor Condition Applications

Case Number:

I-200-23286-430217

Program:

H-1B

Job Title:

Physician

SOC (ONET/OES) code:

29-1215.00

SOC (ONET/OES) occupation title:

Family Medicine Physicians

Begin Date:

2023-11-15

End Date:

2026-11-14

Employment and Wage Information

Address:

1200 W. Fairview St., Colfax, WHITMAN, WA, 99111

Wage Rate Paid to Nonimmigrant Workers:

$340,000

Per:

Year

Prevailing Wage Rate:

$239,200

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