PROVIDENCE MED GRP PROVIDENCE HEALTH CARE
PROVIDENCE MEDICAL GROUP PROVIDENCE HEALTH CARE


Address: 104 W 5th Ave Ste 200 W, Spokane, WA 99204-4880

PROVIDENCE MED GRP PROVIDENCE HEALTH CARE (DUNS #078491648) is an entity registered with System for Award Management (SAM). The business start date is January 1, 2010.

Business Overview

DUNS Number 078491648 (Data Universal Numbering System by Dun & Bradstreet)
CAGE Code 6S4K2 (Commercial and Government Entity Code by NATO Codification System)
DBA Name PROVIDENCE MED GRP PROVIDENCE HEALTH CARE
Company Division PROVIDENCE MEDICAL GROUP PROVIDENCE HEALTH CARE
Entity Structure 8H - Corporate Entity (Tax Exempt)
Physical Address 104 W 5th Ave Ste 200 W
Spokane
WA 99204-4880
Mailing Address 624 E Front Street
Sthc Clinic
Spokane
WA 99202-2139
Business Type 80 - Hospital
A8 - Non-Profit Organization
Credit Card Usage N
Debt Subject to Offset N
Incorporation State WA
Congressional District 05
Registration Purpose Z1 - Federal Assistance Awards
Record Status Active
Business Start Date January 1, 2010
Registration Date June 11, 2012
Expiration Date June 24, 2021
Update Date June 29, 2020
Activation Date June 26, 2020
Fiscal Year End Date 1231

Points of Contacts (POC)

Electronic Business POC

Contact Name & Title Robert K Maudlin
Address 624 E Front Street, Sthc Clinic, Spokane, WA 99202-2139
Phone Number 5096269959
Fax Number 5096269917
Email Address [email protected]

Electronic Business Alternate POC

Contact Name & Title Harry Owen
Address 624 E Front Street, Spokane, WA 99202-2139
Phone Number 5094743275
Fax Number 5094747324
Email Address [email protected]

Government Business POC

Contact Name & Title Robert K Maudlin
Address 624 E Front Street, Sthc Clinic, Spokane, WA 99202-2139
Phone Number 5096269959
Fax Number 5096269917
Email Address [email protected]

Office Location

Street Address 104 W 5TH AVE STE 200 W
City SPOKANE
State WA
Zip Code 99204

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427 S Bernard St, Spokane, WA 99204-2509 19550101
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Business Officer

Business Role Name Address

Competitor

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City SPOKANE
Zip Code 99204

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Dataset Information

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.

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