| Name: | Medical Group of Alaska, LLC |
| Jurisdiction: | Alaska |
| Legal type: | Limited Liability Company |
| Status: | Good Standing |
| Date of registration: | 30 Mar 2015 (10 years ago) |
| Entity Number: | 10028346 |
| ZIP code: | 99654 |
| County: | Matanuska Susitna |
| Place of Formation: | ALASKA |
| Address: | 3190 E MERIDIAN PARK LP #207, WASILLA, AK 99654 |
Line of Business
62 Health Care and Social AssistanceNAICS
621111 OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)| Name | Role |
|---|---|
| Andrew Koogler | Manager |
| Medical Partners of Alaska, LLC | Member |
| STEPHEN MARKAWICH | Manager |
| KIRA GALLIHER | Registered Agent |
| Plan Name | Plan Year | EIN/PN | Received | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MEDICAL GROUP OF ALASKA, LLC 401(K) PROFIT SHARING PLAN | 2017 | 473568350 | 2018-10-15 | 50 | |||||||||||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2018-10-15 |
| Name of individual signing | REBECCA RUDD |
| Role | Employer/plan sponsor |
| Date | 2018-10-15 |
| Name of individual signing | REBECCA RUDD |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2017-01-01 |
| Sponsor | MEDICAL GROUP OF ALASKA, LLC |
| Business code | 621111 |
| Sponsor’s telephone number | 9073579590 |
| Plan sponsor’s address | 3122 E MERIDIAN PARK LOOP, WASILLA, AK, 99654 |
Signature of
| Role | Plan administrator |
| Date | 2019-10-15 |
| Name of individual signing | REBECCA RUDD |
| Role | Employer/plan sponsor |
| Date | 2019-10-15 |
| Name of individual signing | REBECCA RUDD |
| Type | License Number | Status | Date of issue | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| Business License | 1019166 | Active | 2015-04-01 | 2022-10-05 | 2024-12-31 | LOB: 62 - Health Care and Social Assistance, NAICS: 621111 - OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS) |
| Telemedicine Business Registry | 160713 | Active | 2020-04-17 | - | - | - |
| Telemedicine Business Registry | 160714 | Active | 2020-04-17 | - | - | - |
| Telemedicine Business Registry | 161918 | Active | 2020-05-19 | - | - | - |
Date of last update: 10 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
