| Name: | Independence Healthcare, P.C. |
| Jurisdiction: | Alaska |
| Legal type: | Professional Corporation |
| Status: | Good Standing |
| Date of registration: | 11 May 1998 (27 years ago) |
| Entity Number: | 63829D |
| ZIP code: | 99669 |
| County: | Kenai Peninsula |
| Place of Formation: | ALASKA |
| Address: | 289 N FIREWEED STREET, SUITE D, SOLDOTNA, AK 99669 |
Line of Business
62 Health Care and Social AssistanceNAICS
621498 ALL OTHER OUTPATIENT CARE CENTERS| Name | Role |
|---|---|
| VFAM 2016 TRUST | Shareholder |
| EDWIN VYHMEISTER | Director |
| EDWIN VYHMEISTER | Secretary |
| EDWIN VYHMEISTER | Vice President |
| HENRY KRULL | Registered Agent |
| HENRY KRULL | Treasurer |
| HENRY KRULL | Director |
| HENRY KRULL | President |
| KOA FAMILY TRUST | Shareholder |
| Plan Name | Plan Year | EIN/PN | Received | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| INDEPENDENCE HEALTHCARE, 401(K) P/S PLAN | 2023 | 920167575 | 2024-10-08 | 25 | |||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2024-10-08 |
| Name of individual signing | DR. HENRY KRULL |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2004-01-01 |
| Sponsor | INDEPENDENCE HEALTHCARE, P.C. |
| Business code | 621111 |
| Sponsor’s telephone number | 9072626454 |
| Plan sponsor’s address | 291 NORTH FIREWEED, SOLDOTNA, AK, 99669 |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2004-01-01 |
| Sponsor | INDEPENDENCE HEALTHCARE, P.C. |
| Business code | 621111 |
| Sponsor’s telephone number | 9072626454 |
| Plan sponsor’s address | 291 NORTH FIREWEED, SOLDOTNA, AK, 99669 |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2004-01-01 |
| Sponsor | INDEPENDENCE HEALTHCARE, P.C. |
| Business code | 621111 |
| Sponsor’s telephone number | 9072626454 |
| Plan sponsor’s address | 291 NORTH FIREWEED, SOLDOTNA, AK, 99669 |
Signature of
| Role | Plan administrator |
| Date | 2021-10-07 |
| Name of individual signing | HENRY KRULL |
| Role | Employer/plan sponsor |
| Date | 2021-10-07 |
| Name of individual signing | HENRY KRULL |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2004-01-01 |
| Sponsor | INDEPENDENCE HEALTHCARE, P.C. |
| Business code | 621111 |
| Sponsor’s telephone number | 9072626454 |
| Plan sponsor’s address | 291 NORTH FIREWEED, SOLDOTNA, AK, 99669 |
Signature of
| Role | Plan administrator |
| Date | 2020-10-13 |
| Name of individual signing | HENRY KRULL |
| Role | Employer/plan sponsor |
| Date | 2020-10-13 |
| Name of individual signing | HENRY KRULL |
| License Number | Type | Status | Issue Date | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| 1076322 | Business License | Active | 2018-07-24 | 2024-01-17 | 2025-12-31 | 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 |
|---|---|---|---|---|---|---|
| 159688 | Telemedicine Business Registry | Telemedicine Business Registry | Active | 2020-03-26 | 2020-03-26 | - |
Date of last update: 24 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
