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| Company Name: | PROVIDENCE MEDICAL GROUP LLC |
| Employer identification number (EIN): | 352095108 |
| 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 | |||||
|---|---|---|---|---|---|
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| Date first seen: 2010-08-11 | |||||
| Date last seen: 2018-10-10 | |||||
| Date | Description |
|---|---|
| 2021-10-14 | 352095108 Change of name detected from PROVIDENCE MEDICAL GROUP LLC to PROVIDENCE MEDICAL GROUP |
| 2021-08-30 | 352095108 Change of name detected from PROVIDENCE MEDICAL GROUP to PROVIDENCE MEDICAL GROUP LLC |
| 2021-04-09 | 352095108 Change of name detected from PROVIDENCE MEDICAL GROUP to PROVIDENCE MEDICAL GROUP LLC |
| Plan id# | Plan Name | Plan Start Date | Plan Effective Date |
|---|---|---|---|
| 001 | PROVIDENCE MEDICAL GROUP 401(K) PROFIT SHARING PLAN | 2014-01-01 | 2000-07-01 |
| 501 | PROVIDENCE MEDICAL GROUP LLC EMPLOYEE BENEFITS PLAN | 2007-05-01 | 2007-05-01 |
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