PROVIDENCE MEDICAL GROUP (DUNS #063528712) is an entity registered with System for Award Management (SAM). The business start date is January 17, 1983.
| DUNS Number | 063528712 (Data Universal Numbering System by Dun & Bradstreet) |
| CAGE Code | 6WG36 (Commercial and Government Entity Code by NATO Codification System) |
| DBA Name | PROVIDENCE MEDICAL GROUP |
| Company Division | PROVIDENCE MEDICAL GROUP |
| Entity Structure | 2L - Corporate Entity (Not Tax Exempt) |
| Physical Address |
105 W 8th Ave Ste 660e Spokane WA 99204-2302 |
| Mailing Address |
101 West Eighth Avenue Mother Gamelin Center Spokane WA 99204-2302 |
| Business Type | 2X - For Profit Organization |
| Credit Card Usage | Y |
| Debt Subject to Offset | N |
| Incorporation State | WA |
| Congressional District | 05 |
| Registration Purpose | Z1 - Federal Assistance Awards |
| Record Status | Expired |
| Business Start Date | January 17, 1983 |
| Registration Date | May 8, 2013 |
| Expiration Date | January 14, 2020 |
| Update Date | January 14, 2020 |
| Activation Date | January 14, 2019 |
| Fiscal Year End Date | 1231 |
| Contact Name & Title | Sean M Douglas (CFO) |
| Address | 101 West 8th Ave, Mother Gamelin Center, Spokane, WA 99204 |
| Phone Number | 5094744954 |
| Fax Number | 5094744856 |
| Email Address | [email protected] |
| Contact Name & Title | Kristine L Knight (FINANCIAL ANALYIST) |
| Address | 101 West 8th Ave, Mother Gamelin Center, Spokane, WA 99204 |
| Phone Number | 5094744952 |
| Fax Number | 5094744856 |
| Email Address | [email protected] |
| Contact Name & Title | Sean M Douglas (CFO) |
| Address | 101 West 8th Ave, Mother Gamelin Center, Spokane, WA 99204 |
| Phone Number | 5094744954 |
| Fax Number | 5094744856 |
| Email Address | [email protected] |
| Contact Name & Title | Sean Douglas (CFO) |
| Address | 101 West 8th Ave, Spokane, WA 99204 |
| Phone Number | 5094744954 |
| Fax Number | 5094744856 |
| Email Address | [email protected] |
| Contact Name & Title | Allison L. Melchert |
| Address | 2001 Lind Ave Sw, Southgate II Bldg., #300, Renton, WA 98057 |
| Phone Number | 4255255196 ext. 55196 |
| Fax Number | 4256873672 |
| Email Address | [email protected] |
| Contact Name & Title | Kristine L Knight (FINANCIAL ANYLST) |
| Address | 101 West 8th Ave, Mother Gamelin Center, Spokane, WA 99204 |
| Phone Number | 5094744952 |
| Fax Number | 5094744856 |
| Email Address | [email protected] |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| National Provider Identifier (NPI) | PROVIDENCE MEDICAL GROUP | 1806 Wadsworth Avenue, Bakersfield, CA 93311 |
| Oregon Corporations, Companies and Business Names | PROVIDENCE MEDICAL GROUP | 1801 Lind Ave Sw, Renton, WA 98057 |
| Ohio Business Entities | PROVIDENCE MEDICAL GROUP - THE HEIGHTS | 2912 Springboro West, Suite 201, Dayton, OH 45439 |
| Oregon Corporations, Companies and Business Names | PROVIDENCE MEDICAL GROUP ALASKA | 1801 Lind Ave Sw, Renton, WA 98057 |
| National Provider Identifier (NPI) | PROVIDENCE MEDICAL GROUP INC | 7756 Washington Village Dr, Suite 125, Centerville, OH 45459-3999 |
| Ohio Business Entities | PROVIDENCE MEDICAL GROUP LABORATORY | 2912 Springboro West, Dayton, OH 45439 |
| National Provider Identifier (NPI) | PROVIDENCE MEDICAL GROUP LLC | 2723 S 7th St, Suite A, Terre Haute, IN 47802-3558 |
| Oregon Corporations, Companies and Business Names | PROVIDENCE MEDICAL GROUP MONTANA | 1801 Lind Ave Sw, Renton, WA 98057 |
| Oregon Corporations, Companies and Business Names | PROVIDENCE MEDICAL GROUP NORTHWEST WASHINGTON | 1801 Lind Ave Sw, Renton, WA 98057 |
| Oregon Corporations, Companies and Business Names | PROVIDENCE MEDICAL GROUP SOUTHEAST WASHINGTON | 1801 Lind Ave Sw, Renton, WA 98057 |
| Street Address | 105 W 8TH AVE STE 660E |
| City | SPOKANE |
| State | WA |
| Zip Code | 99204 |
| Entity Name | Office Address | Start Date |
|---|---|---|
| 427 S Bernard St, Spokane, WA 99204-2509 | 19550101 | |
| 427 S Bernard St, Spokane, WA 99204-2509 | 19550101 | |
| (aff: Sacred Heart Medical Center) | 801 S Stevens St, Spokane, WA 99204-2654 | 19980101 |
| Pavlish Playhouse & Preschool | 109 W 14th Ave, Spokane, WA 99204-3613 | 19990405 |
| Providence Med Grp Providence Health Care · Providence Medical Group Providence Health Care | 104 W 5th Ave Ste 200 W, Spokane, WA 99204-4880 | 20100101 |
| Providence Sacred Heart Medical Center & Childrens Hospital | 101 W 8th Ave, Spokane, WA 99204-2307 | 18860101 |
| Providence Sacred Heart Medical Center & Childrens Hospital | 101 W 8th Ave, Spokane, WA 99204-2307 | 18860101 |
| · Providence Health Care Foundation Eastern Washington | 101 W Eight Ave, Spokane, WA 99204-2307 | 20020506 |
| Downtown Spokane Renal Center | 601 West 5th Ave Ste 101, Spokane, WA 99204-2708 | 20001004 |
| 516 W Sumner Ave, Spokane, WA 99204-3738 | 20130311 | |
| Find all businesses in zip 99204 | ||
| Business Role | Name | Address |
|---|
Please comment or provide details below to improve the information on PROVIDENCE MEDICAL GROUP.
| Data Provider | System for Award Management (SAM) |
| Jurisdiction | United States |
This dataset includes 670 thousands business entities registered with the System for Award Management (SAM), General Services Administration. Each entity is registered with DUNS ID, business name, location, point of contacts, business types, etc.