| Name: | ALASKA HEART INSTITUTE LLC |
| Jurisdiction: | Alaska |
| Legal type: | Limited Liability Company |
| Status: | Good Standing |
| Date of registration: | 04 Nov 1998 (26 years ago) |
| Entity Number: | 65130D |
| ZIP code: | 99508 |
| County: | Anchorage |
| Place of Formation: | ALASKA |
| Address: | 3841 PIPER ST STE T-100, ANCHORAGE, AK 99508 |
| Supporting healthcare providers fighting with COVID-19: | $1,006,630 |
Line of Business
62 Health Care and Social AssistanceNAICS
621111 OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)| Name | Role |
|---|---|
| Krzysztof W. Balaban, MD, FACC | Member |
| Stanley P. Watkins, MD, MHS, FACC | Member |
| Adam C. Mason, MD, FACC | Member |
| Mario Binder, MD, FACC | Member |
| Steven Compton, MD, FACC, FACP, FHRS | Member |
| Thomas Kramer, MD, FACC | Member |
| Scott Ebenhoeh, DO | Member |
| Brian T. Scully, MD, FACC | Member |
| Mark Willcox, MD | Member |
| Yiming Wu, MD, PHD | Member |
| Unique Entity ID | Expiration Date | Physical Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NDCSRWH65XU7 | 2024-09-24 | 3841 PIPER ST STE T100, ANCHORAGE, AK, 99508, 4674, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Congressional District | 00 |
| State/Country of Incorporation | AK, USA |
| Activation Date | 2023-09-29 |
| Initial Registration Date | 2004-06-15 |
| Entity Start Date | 1999-03-01 |
| Fiscal Year End Close Date | Dec 31 |
Service Classifications
| NAICS Codes | 621111, 621493 |
| Product and Service Codes | Q502 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | GLORIA JUENEMAN |
| Role | CHIEF REVENUE OFFICER |
| Address | 3841 PIPER ST STE T100, ANCHORAGE, AK, 99508, 4674, USA |
| Title | ALTERNATE POC |
| Name | ROBERT CRAIG |
| Role | CEO |
| Address | 3841 PIPER ST STE T100, ANCHORAGE, AK, 99508, 4674, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | GLORIA JUENEMAN |
| Role | CHIEF REVENUE OFFICER |
| Address | 3841 PIPER ST STE T100, ANCHORAGE, AK, 99508, USA |
| Title | ALTERNATE POC |
| Name | ROBERT CRAIG |
| Role | CEO |
| Address | 3841 PIPER ST STE T100, ANCHORAGE, AK, 99508, USA |
| Past Performance | |
|---|---|
| Title | PRIMARY POC |
| Name | GLORIA JUENEMAN |
| Role | CHIEF REVENUE OFFICER |
| Address | 3841 PIPER STREET, SUITE T100, ANCHORAGE, AK, 99508, USA |
| Title | ALTERNATE POC |
| Name | ROBERT CRAIG |
| Role | CEO |
| Address | 3841 PIPER STREET, SUITE T100, ANCHORAGE, AK, 99508, USA |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 751H7 | Active With Restraint | Non-Manufacturer | 2014-06-13 | 2024-08-14 | 2029-08-14 | 2025-08-12 | |||||||||||||||
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| POC | GLORIA JUENEMAN |
| Phone | +1 907-550-2240 |
| Fax | +1 907-771-6756 |
| Address | 3841 PIPER ST STE T100, ANCHORAGE, AK, 99508 4674, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | - |
|---|
| Immediate Level Owner | - |
|---|
| List of Offerors (0) | - |
|---|
| License Number | Type | Status | Issue Date | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| 401602 | Business License | Active | 1998-11-10 | 2024-10-21 | 2026-12-31 | LOB: 62 - Health Care and Social Assistance, NAICS: 621111 - OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS) |
| License Number | Program | Type | Status | Issue Date | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|
| PHAG56 | Pharmacy | Drug Room | Active | 2013-05-13 | 2024-05-08 | 2026-06-30 |
| 157010 | Telemedicine Business Registry | Telemedicine Business Registry | Active | 2020-01-29 | 2020-01-29 | - |
| Title | Date | Case Type | Status | Open |
|---|---|---|---|---|
| 3PA-19-02159CI Brown, Jean vs. Alaska Heart Institute LLC et al JCC | 2019-08-26 | Civil Superior Ct (3PA) | Closed | Open Case Link |
Date of last update: 25 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
