| Entity Name: | PROVIDENCE HEALTH & SERVICES-WASHINGTON INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Foreign Not For Profit Corporation |
| Status: | Active |
| Date Filed: | 15 Feb 2021 (4 years ago) |
| Document Number: | F21000000906 |
| FEI/EIN Number | 51-0216586 |
| Address: | 1801 LIND AVE SW #9016, RENTON, WA 98057 |
| Mail Address: | 1801 LIND AVE SW #9016, RENTON, WA 98057 |
| Place of Formation: | WASHINGTON |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 1200 S PINE ISLAND RD, PLANTATION, FL 33324 |
| Name | Role | Address |
|---|---|---|
| Wexler, Erik G. | President | 1801 LIND AVE SW #9016, RENTON, WA 98057 |
| Name | Role | Address |
|---|---|---|
| Wexler, Erik G. | Chief Executive Officer | 1801 LIND AVE SW #9016, RENTON, WA 98057 |
| Name | Role | Address |
|---|---|---|
| HOFFMAN, Gregory | Treasurer | 1801 LIND AVE SW #9016, RENTON, WA 98057 |
| Name | Role | Address |
|---|---|---|
| HOFFMAN, Gregory | Chief Financial Officer | 1801 LIND AVE SW #9016, RENTON, WA 98057 |
| Name | Role | Address |
|---|---|---|
| Newsom, Anna | Secretary | 1801 LIND AVE SW #9016, RENTON, WA 98057 |
| Name | Role | Address |
|---|---|---|
| Murphy, Michael | Director | 1801 LIND AVE SW #9016, RENTON, WA 98057 |
| Pacini, LCM, Sr. Carol | Director | 1801 LIND AVE SW #9016, RENTON, WA 98057 |
| Sorenson MD, Charles | Director | 1801 LIND AVE SW #9016, RENTON, WA 98057 |
| Sprunk, Eric | Director | 1801 LIND AVE SW #9016, RENTON, WA 98057 |
| Crawford, Ph. D., Isiaah | Director | 1801 LIND AVE SW #9016, RENTON, WA 98057 |
| Blair, Richard | Director | 1801 LIND AVE SW #9016, RENTON, WA 98057 |
| Hughes RSM, Dr. PH, Sr. Phyllis | Director | 1801 LIND AVE SW #9016, RENTON, WA 98057 |
| Hejna CSJ,RN, Sr. Diane | Director | 1801 LIND AVE SW #9016, RENTON, WA 98057 |
| Kingston, Mary Beth | Director | 1801 LIND AVE SW #9016, RENTON, WA 98057 |
| Lyons PhD, Mary | Director | 1801 LIND AVE SW #9016, RENTON, WA 98057 |
| Name | Role | Address |
|---|---|---|
| Watson, James D. | Assistant Secretary | 1801 LIND AVE SW #9016, RENTON, WA 98057 |
| Name | Role | Address |
|---|---|---|
| Anderson, Jr., Donald W. | Assistant Secretary for Enrollment | 1801 LIND AVE SW #9016, RENTON, WA 98057 |
| Name | Role | Address |
|---|---|---|
| Martin, Jim | Assistant Treasurer | 1801 LIND AVE SW #9016, RENTON, WA 98057 |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-24 |
| ANNUAL REPORT | 2023-04-21 |
| ANNUAL REPORT | 2022-03-29 |
| Foreign Non-Profit | 2021-02-15 |
Date of last update: 14 Jan 2025
Sources: Florida Department of State
