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| Company Name: | PRIVIA MEDICAL GROUP WASHINGTON, PLLC |
| Employer identification number (EIN): | 910862542 |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
The following addresses have been detected on the 401k submissions:
| USA Mailing Address | |||||
|---|---|---|---|---|---|
| |||||
| Date first seen: 2010-07-23 | |||||
| Date last seen: 2025-11-21 | |||||
| USA Location Address | |||||
|---|---|---|---|---|---|
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| Date first seen: 2007-01-01 | |||||
| Date last seen: 2025-08-31 | |||||
| USA Mailing Address | |||||
|---|---|---|---|---|---|
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| Date first seen: 2025-07-30 | |||||
| Date last seen: 2025-10-03 | |||||
| Date | Description |
|---|---|
| 2024-10-01 | 910862542 Change of name detected from WALLA WALLA CLINIC, INC. to PRIVIA MEDICAL GROUP WASHINGTON, PLLC |
| 2024-10-01 | 910862542 Change of plan name detected from WALLA WALLA CLINIC 401K PLAN to PRIVIA MEDICAL GROUP WASHINGTON, PLLC 401K PLAN for plan ID 002 |
| 2021-10-01 | 910862542 Change of name detected from WALLA WALLA CLINIC INC. PS to WALLA WALLA CLINIC, INC. |
| 2021-07-16 | 910862542 Change of name detected from WALLA WALLA CLINIC, INC. to WALLA WALLA CLINIC INC. PS |
| Plan id# | Plan Name | Plan Start Date | Plan Effective Date |
|---|---|---|---|
| 507 | WALLA WALLA CLINIC LONG TERM DISABILITY PLAN | 2015-01-01 | 1992-05-31 |
| 002 | PRIVIA MEDICAL GROUP WASHINGTON, PLLC 401K PLAN | 2015-01-01 | 1971-03-01 |
| 506 | WALLA WALLA CLINIC HEALTH & DENTAL PLAN | 2015-01-01 | 1991-03-01 |
| 001 | WALLA WALLA CLINIC PENSION PLAN | 2013-01-01 | 1976-01-01 |
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