| Name: | Orion Behavioral Health Network LLC |
| Jurisdiction: | Alaska |
| Legal type: | Limited Liability Company |
| Status: | Good Standing |
| Date of registration: | 26 Oct 2009 (15 years ago) |
| Entity Number: | 124594 |
| ZIP code: | 99577 |
| County: | Anchorage |
| Place of Formation: | ALASKA |
| Address: | 16600 CENTERFIELD DRIVE, SUITE 205, EAGLE RIVER, AK 99577 |
Line of Business
62 Health Care and Social AssistanceNAICS
621112 OFFICES OF PHYSICIANS, MENTAL HEALTH SPECIALISTS| Name | Role |
|---|---|
| Jennifer DesRuisseau | Member |
| C T Corporation System | Registered Agent |
| Arom Evans | Member |
| Type | Company Name | Company Number | State |
|---|---|---|---|
| Headquarter of | Orion Behavioral Health Network LLC, FLORIDA | M14000003945 | FLORIDA |
| Headquarter of | Orion Behavioral Health Network LLC, IDAHO | 4461981 | IDAHO |
| Headquarter of | Orion Behavioral Health Network LLC, ILLINOIS | LLC_10030757 | ILLINOIS |
| Unique Entity ID | Expiration Date | Physical Address | |||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| UBPBD76UBPN5 | 2022-06-25 | 17025 SNOWMOBILE LN, EAGLE RIVER, AK, 99577, 7044, USA | |||||||||||||||||||||||||||||||||||||||||||
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| URL | www.obhn.org |
| Congressional District | 00 |
| State/Country of Incorporation | AK, USA |
| Activation Date | 2021-05-27 |
| Initial Registration Date | 2021-05-26 |
| Entity Start Date | 2010-01-01 |
| Fiscal Year End Close Date | Jun 30 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | CHRISTOPHER DIETRICH |
| Role | MEDICAL DIRECTOR |
| Address | 9860 E TERN DR, PALMER, AK, 99645, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | CHRISTOPHER DIETRICH |
| Role | MEDICAL DIRECTOR |
| Address | 9860 E TERN DR, PALMER, AK, 99645, USA |
| Past Performance | - |
|---|
| Plan Name | Plan Year | EIN/PN | Received | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ORION BEHAVIORAL HEALTH NETWORK 401(K) PLAN | 2017 | 271186438 | 2018-05-08 | 10 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2018-05-08 |
| Name of individual signing | JENNIFER E. DESRUISSEAU |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2010-09-01 |
| Sponsor | ORION BEHAVIORAL HEALTH NETWORK |
| Business code | 621112 |
| Sponsor’s telephone number | 9073601566 |
| Plan sponsor’s address | 532 COASTAL PLACE, ANCHORAGE, AK, 99501 |
Signature of
| Role | Plan administrator |
| Date | 2017-05-17 |
| Name of individual signing | JENNIFER E. DESRUISSEAU |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2010-09-01 |
| Sponsor | ORION BEHAVIORAL HEALTH NETWORK |
| Business code | 621112 |
| Sponsor’s telephone number | 9073601566 |
| Plan sponsor’s address | 532 COASTAL PLACE, ANCHORAGE, AK, 99501 |
Signature of
| Role | Plan administrator |
| Date | 2016-05-04 |
| Name of individual signing | JENNIFER E. DESRUISSEAU |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2010-09-01 |
| Sponsor | ORION BEHAVIORAL HEALTH NETWORK |
| Business code | 621112 |
| Sponsor’s telephone number | 9073601566 |
| Plan sponsor’s address | 532 COASTAL PLACE, ANCHORAGE, AK, 99501 |
Signature of
| Role | Plan administrator |
| Date | 2015-06-03 |
| Name of individual signing | JENNIFER E DESRUISSEAU |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2010-09-01 |
| Sponsor | ORION BEHAVIORAL HEALTH NETWORK |
| Business code | 621112 |
| Sponsor’s telephone number | 9073601566 |
| Plan sponsor’s address | 532 COASTAL PLACE, ANCHORAGE, AK, 99501 |
Signature of
| Role | Plan administrator |
| Date | 2015-06-02 |
| Name of individual signing | JENNIFER E DESRUISSEAU |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2010-09-01 |
| Sponsor | ORION BEHAVIORAL HEALTH NETWORK |
| Business code | 621112 |
| Sponsor’s telephone number | 9073601566 |
| Plan sponsor’s address | 532 COASTAL PLACE, ANCHORAGE, AK, 99501 |
Signature of
| Role | Plan administrator |
| Date | 2014-05-22 |
| Name of individual signing | JENNIFER E. DESRUISSEAU |
| Type | License Number | Status | Date of issue | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| Business License | 935267 | Active | 2009-10-26 | 2023-10-19 | 2025-12-31 | LOB: 62 - Health Care and Social Assistance, NAICS: 621112 - OFFICES OF PHYSICIANS, MENTAL HEALTH SPECIALISTS |
| Telemedicine Business Registry | 127978 | Active | 2017-11-03 | - | - | - |
Date of last update: 11 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
