| Name: | Health North Family Medicine LLC |
| Jurisdiction: | Alaska |
| Legal type: | Limited Liability Company |
| Status: | Good Standing |
| Date of registration: | 06 Apr 2009 (16 years ago) |
| Entity Number: | 121314 |
| ZIP code: | 99669 |
| County: | Kenai Peninsula |
| Place of Formation: | ALASKA |
| Address: | 35911 KENAI SPUR HWY., STE 6, SOLDOTNA, AK 99669 |
Line of Business
62 Health Care and Social AssistanceNAICS
621111 OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)| Name | Role |
|---|---|
| Rod a Hall | Member |
| Rod A. Hall | Registered Agent |
| Plan Name | Plan Year | EIN/PN | Received | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HEALTH NORTH FAMILY MEDICINE RETIREMENT TRUST | 2023 | 264206114 | 2024-08-16 | 11 | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2024-08-16 |
| Name of individual signing | PLAN SPONSOR |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Sponsor | HEALTH NORTH FAMILY MEDICINE |
| Business code | 541600 |
| Sponsor’s telephone number | 9075611195 |
| Plan sponsor’s address | 2741 DEBARR RD, STE 302, ANCHORAGE, AK, 99508 |
Signature of
| Role | Plan administrator |
| Date | 2024-08-16 |
| Name of individual signing | PLAN SPONSOR |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Sponsor | HEALTH NORTH FAMILY MEDICINE |
| Business code | 541600 |
| Sponsor’s telephone number | 9073134549 |
| Plan sponsor’s address | 35911 KENAI SPUR HWY, SUITE 6, SOLDOTNA, AK, 99699 |
Signature of
| Role | Plan administrator |
| Date | 2023-07-25 |
| Name of individual signing | PLAN SPONSOR |
| Type | License Number | Status | Date of issue | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| Business License | 2125225 | Active | 2021-02-22 | 2023-03-06 | 2024-12-31 | LOB: 62 - Health Care and Social Assistance, NAICS: 621111 - OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS) |
Date of last update: 11 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
