| Name: | MEDICAL NETWORK OF ALASKA, LLC |
| Jurisdiction: | Alaska |
| Legal type: | Limited Liability Company |
| Status: | Good Standing |
| Date of registration: | 13 Oct 2006 (18 years ago) |
| Entity Number: | 103547 |
| ZIP code: | 99654 |
| County: | Matanuska Susitna |
| Place of Formation: | ALASKA |
| Address: | 3331 E MERIDIAN PARK LP, WASILLA, AK 99654 |
Line of Business
62 Health Care and Social AssistanceNAICS
621111 OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)| Name | Role |
|---|---|
| CAPSTONE DIABETES AND EDOCRINOLOGY, LLC | Member |
| Anchorage Fracture and Orthopaedic Clinic, P.C. | Member |
| CAPSTONE URGENT CARE, LLC | Member |
| Alpenglow Women's Health, LLC | Member |
| Capstone Family Physicians, LLC | Member |
| WADE ERICKSON | Registered Agent |
| Unique Entity ID | Expiration Date | Physical Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| K6ZZJ9YLJXZ7 | 2024-05-30 | 3122 E MERIDIAN PARK LOOP, WASILLA, AK, 99654, 7255, USA | |||||||||||||||||||||||||||||||||||||||||||||
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| URL | www.capstoneclinic.com |
| Division Name | CAPSTONE FAMILY MEDICINE |
| Congressional District | 00 |
| State/Country of Incorporation | AK, USA |
| Activation Date | 2023-06-02 |
| Initial Registration Date | 2021-03-11 |
| Entity Start Date | 2019-07-01 |
| Fiscal Year End Close Date | Dec 31 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | JACQUELYN R BLOMKER |
| Role | DIRECTOR OF REVENUE CYCLE |
| Address | 3122 E MERIDIAN PARK LOOP, WASILLA, AK, 99654, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | JACQUELYN R BLOMKER |
| Role | DIRECTOR OF REVENUE CYCLE |
| Address | 3122 E MERIDIAN PARK LOOP, WASILLA, AK, 99654, USA |
| Past Performance | - |
|---|
| Type | License Number | Status | Date of issue | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| Business License | 2103226 | Active | 2020-04-21 | 2023-12-18 | 2024-12-31 | LOB: 62 - Health Care and Social Assistance, NAICS: 621111 - OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS) |
| Telemedicine Business Registry | 129753 | Active | 2018-01-18 | - | - | - |
| Telemedicine Business Registry | 146960 | Active | 2019-05-20 | - | - | - |
Date of last update: 10 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
