PROVIDENCE HEALTH & SERVICES-WASHINGTON, INC.

Company Details

Entity Name:	PROVIDENCE HEALTH & SERVICES-WASHINGTON, INC.
Jurisdiction:	Connecticut
Legal type:	Non-Stock
Citizenship:	Foreign
Status:	Active
Sub status:	Annual report due
Date Formed:	13 Mar 2023 (Companies founded in March 2023)
Business ALEI:	2756017
Annual report due:	13 Mar 2025
NAICS code:	621498 - All Other Outpatient Care Centers
Business address:	1801 Lind Ave SW, #9016, RENTON, WA, 98057, United States
Mailing address:	1801 Lind Ave SW, #9016, RENTON, WA, United States, 98057
Place of Formation:	WASHINGTON
E-Mail:	officeoflegalaffairs.systemoffice@providence.org

Agent

Name	Role
C T CORPORATION SYSTEM	Agent

Director

Name	Role	Business address	Residence address
Mary Beth Kingston	Director	1801 Lind Ave SW, #9016, RENTON, WA, 98057, United States	1801 Lind Ave SW, #9016, RENTON, WA, 98057, United States
MD, Charles Sorenson	Director	1801 Lind Ave SW, #9016, RENTON, WA, 98057, United States	1801 Lind Ave SW, #9016, RENTON, WA, 98057, United States
CSJ,RN, Sr. Diane Hejna	Director	1801 Lind Ave SW, #9016, RENTON, WA, 98057, United States	1801 Lind Ave SW, #9016, RENTON, WA, 98057, United States
PhD Mary Lyons	Director	1801 Lind Ave SW, #9016, RENTON, WA, 98057, United States	1801 Lind Ave SW, #9016, RENTON, WA, 98057, United States
LCM, Sr. Carol Pacini	Director	1801 Lind Ave SW, #9016, RENTON, WA, 98057, United States	1801 Lind Ave SW, #9016, RENTON, WA, 98057, United States
Eric Sprunk	Director	1801 Lind Ave SW, #9016, RENTON, WA, 98057, United States	1801 Lind Ave SW, #9016, RENTON, WA, 98057, United States
Ph.D., Isiaah Crawford	Director	1801 Lind Ave SW, #9016, RENTON, WA, 98057, United States	1801 Lind Ave SW, #9016, RENTON, WA, 98057, United States
Michael Murphy	Director	1801 Lind Ave SW, #9016, RENTON, WA, 98057, United States	1801 Lind Ave SW, #9016, RENTON, WA, 98057, United States
Marvin O'Quinn	Director	1801 Lind Ave SW, #9016, RENTON, WA, 98057, United States	1801 Lind Ave SW, #9016, RENTON, WA, 98057, United States
Richard Blair	Director	1801 Lind Ave SW, #9016, RENTON, WA, 98057, United States	1801 Lind Ave SW, #9016, RENTON, WA, 98057, United States
RSM, Dr. PH, Sr. Phyllis Hughes	Director	1801 Lind Ave SW, #9016, RENTON, WA, 98057, United States	1801 Lind Ave SW, #9016, RENTON, WA, 98057, United States
Donna Markham	Director	1801 Lind Ave SW, #9016, RENTON, WA, 98057, United States	1801 Lind Ave SW, #9016, RENTON, WA, 98057, United States

Officer

Name	Role	Business address	Residence address
Anna Newsom	Officer	1801 Lind Ave SW, #9016, RENTON, WA, 98057, United States	1801 Lind Ave SW, #9016, RENTON, WA, 98057, United States
Erik G. Wexler	Officer	1801 Lind Ave SW, #9016, RENTON, WA, 98057, United States	1801 Lind Ave SW, #9016, RENTON, WA, 98057, United States
Jim Martin	Officer	1801 Lind Ave SW, #9016, RENTON, WA, 98057, United States	1801 Lind Ave SW, #9016, RENTON, WA, 98057, United States
James D. Watson	Officer	1801 Lind Ave SW, #9016, RENTON, WA, 98057, United States	1801 Lind Ave SW, #9016, RENTON, WA, 98057, United States
Jr., Donald W. Anderson	Officer	1801 Lind Ave SW, #9016, RENTON, WA, 98057, United States	1801 Lind Ave SW, #9016, RENTON, WA, 98057, United States
Gregory Hoffman	Officer	1801 Lind Ave SW, #9016, RENTON, WA, 98057, United States	1801 Lind Ave SW, #9016, RENTON, WA, 98057, United States

Filing

Filing number	Filing date	Effective date	Filing category	Filing type	Report year
BF-0012428061	2024-03-01	No data	Annual Report	Annual Report	No data
BF-0011737467	2023-03-13	2023-03-13	Business Registration	Certificate of Authority	No data

Date of last update: 04 Nov 2024

Sources: Connecticut's Official State Website