| Name: | Girdwood Health Clinic Inc. |
| Jurisdiction: | Alaska |
| Legal type: | Nonprofit Corporation |
| Status: | Good Standing |
| Date of registration: | 24 Nov 2010 (14 years ago) |
| Entity Number: | 131767 |
| ZIP code: | 99587 |
| County: | Anchorage |
| Place of Formation: | ALASKA |
| Address: | 131 LINDBLAD AVE, GIRDWOOD, AK 99587 |
| Mailing Address: | PO BOX 1130, GIRDWOOD, AK 99587 |
| Supporting healthcare providers fighting with COVID-19: | $111,941 |
Line of Business
62 Health Care and Social AssistanceNAICS
621498 ALL OTHER OUTPATIENT CARE CENTERS| Name | Role |
|---|---|
| Anna Moran | Treasurer |
| SHARI (KALIE) HARRISON | Director |
| Kaleen Haines | Director |
| Stacy Kelley | Director |
| CHARLA HUGHES | President |
| ALICE SIMMONS | Vice President |
| Christine Johnson | Secretary |
| MARCIA (CAMILLA) SEIFERT | Director |
| Deanna Nafzger | Director |
| REBECCA MARINELLI | Registered Agent |
| Unique Entity ID | Expiration Date | Physical Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WMM4NVUQ1YR8 | 2025-01-21 | 131 LINDBLAD AVE, GIRDWOOD, AK, 99587, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Doing Business As | GIRDWOOD HEALTH CLINIC INC |
| URL | www.girdwoodhealthclinic.org |
| Division Name | GIRDWOOD HEALTH CLINIC INC |
| Congressional District | 00 |
| State/Country of Incorporation | AK, USA |
| Activation Date | 2024-01-24 |
| Initial Registration Date | 2011-02-03 |
| Entity Start Date | 2011-12-22 |
| Fiscal Year End Close Date | Dec 31 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | REBECCA MARINELLI |
| Role | DIRECTOR OF RISK AND ADMIN COMPLIANCE |
| Address | PO BOX 1130, GIRDWOOD, AK, 99587, 1130, USA |
| Title | ALTERNATE POC |
| Name | TAWNY BUCK |
| Role | EXECUTIVE DIRECTOR |
| Address | PO BOX 1130, GIRDWOOD, AK, 99587, 1130, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | REBECCA MARINELLI |
| Role | DIRECTOR OF RISK AND ADMIN COMPLIANCE |
| Address | PO BOX 1130, GIRDWOOD, AK, 99587, 1130, USA |
| Title | ALTERNATE POC |
| Name | REBECCA MARINELLI |
| Role | DIRECTOR OF RISK AND ADMIN COMPLIANCE |
| Address | PO BOX 1130, GIRDWOOD, AK, 99587, 1130, USA |
| Past Performance | |
|---|---|
| Title | PRIMARY POC |
| Name | REBECCA MARINELLI |
| Role | DIRECTOR OF RISK AND COMPLIENCE |
| Address | PO BOX 1130, GIRDWOOD, AK, 99587, USA |
| Title | ALTERNATE POC |
| Name | TAWNY L BUCK |
| Role | EXECUTIVE DIRECTOR |
| Address | 131 LINDBLAD AVENUE, PO BOX 1130, GIRDWOOD, AK, 99587, USA |
| CAGE number | Status | Type | Established | CAGE Update Date | CAGE Expiration | SAM Expiration | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 696Q7 | Obsolete | Non-Manufacturer | 2011-02-04 | 2024-01-24 | - | 2025-01-21 | |||||||||||||||
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| POC | REBECCA MARINELLI |
| Phone | +1 907-783-1355 |
| Fax | +1 907-783-1357 |
| Address | 131 LINDBLAD AVE, GIRDWOOD, AK, 99587, UNITED STATES |
Ownership of Offeror Information
| Highest Level Owner | - |
|---|
| Immediate Level Owner | - |
|---|
| List of Offerors (0) | - |
|---|
| Plan Name | Plan Year | EIN/PN | Received | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GIRDWOOD HEALTH CLINIC 401(K) PLAN | 2023 | 900622646 | 2024-06-17 | 18 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-06-17 |
| Name of individual signing | TAWNY BUCK |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Sponsor | GIRDWOOD HEALTH CLINIC |
| Business code | 621498 |
| Sponsor’s telephone number | 9077831355 |
| Plan sponsor’s address | P.O. BOX 1130, GIRDWOOD, AK, 99587 |
Signature of
| Role | Plan administrator |
| Date | 2023-08-14 |
| Name of individual signing | TAWNY BUCK |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2021-01-01 |
| Sponsor | GIRDWOOD HEALTH CLINIC |
| Business code | 621498 |
| Sponsor’s telephone number | 9077831355 |
| Plan sponsor’s address | P.O. BOX 1130, GIRDWOOD, AK, 99587 |
Signature of
| Role | Plan administrator |
| Date | 2022-06-22 |
| Name of individual signing | TAWNY BUCK |
| License Number | Type | Status | Issue Date | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| 967439 | Business License | Active | 2011-12-19 | 2024-11-26 | 2026-12-31 | LOB: 62 - Health Care and Social Assistance, NAICS: 621498 - ALL OTHER OUTPATIENT CARE CENTERS |
| License Number | Program | Type | Status | Issue Date | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|
| 152470 | Telemedicine Business Registry | Telemedicine Business Registry | Active | 2019-09-18 | 2019-09-18 | - |
| 160644 | Telemedicine Business Registry | Telemedicine Business Registry | Active | 2020-04-15 | 2020-04-15 | - |
Date of last update: 23 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
