| Name: | Magellan Healthcare Provider Group, Inc. |
| Jurisdiction: | Alaska |
| Legal type: | Business Corporation |
| Status: | Good Standing |
| Date of registration: | 01 Mar 2023 (2 years ago) |
| Entity Number: | 10224913 |
| Place of Formation: | MARYLAND |
| Address: | 8621 ROBERT FULTON DR., COLUMBIA, MD 21046 |
Line of Business
52 Finance and InsuranceNAICS
524210 INSURANCE AGENCIES AND BROKERAGES| Name | Role |
|---|---|
| Camille Guillot | Assistant Treasurer |
| Magellan Healthcare, Inc. | Shareholder |
| Michael McQuillen | Director |
| Michael McQuillen | Secretary |
| Derrick Duke | Director |
| Derrick Duke | President |
| Caroline Becker | Assistant Secretary |
| Corporation Service Company | Registered Agent |
| License Number | Type | Status | Issue Date | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| 2205437 | Business License | Active | 2024-10-22 | - | 2025-12-31 | LOB: 52 - Finance and Insurance, NAICS: 524210 - INSURANCE AGENCIES AND BROKERAGES |
Date of last update: 23 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
