| Name: | Medical Group of Alaska, LLC |
| Jurisdiction: | Alaska |
| Legal type: | Limited Liability Company |
| Status: | Good Standing |
| Date of registration: | 30 Mar 2015 (10 years ago) |
| Entity Number: | 10028346 |
| ZIP code: | 99654 |
| County: | Matanuska Susitna |
| Place of Formation: | ALASKA |
| Address: | 3190 E MERIDIAN PARK LP #207, WASILLA, AK 99654 |
| Supporting healthcare providers fighting with COVID-19: | $533,370 |
Line of Business
62 Health Care and Social AssistanceNAICS
621111 OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)| Name | Role |
|---|---|
| Medical Partners of Alaska, LLC | Member |
| Andrew Koogler | Manager |
| STEPHEN MARKAWICH | Manager |
| KIRA GALLIHER | Registered Agent |
| Plan Name | Plan Year | EIN/PN | Received | Total number of participants | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MEDICAL GROUP OF ALASKA, LLC 401(K) PROFIT SHARING PLAN | 2017 | 473568350 | 2018-10-15 | 50 | |||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||
| Role | Plan administrator |
| Date | 2018-10-15 |
| Name of individual signing | REBECCA RUDD |
| Role | Employer/plan sponsor |
| Date | 2018-10-15 |
| Name of individual signing | REBECCA RUDD |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2017-01-01 |
| Sponsor | MEDICAL GROUP OF ALASKA, LLC |
| Business code | 621111 |
| Sponsor’s telephone number | 9073579590 |
| Plan sponsor’s address | 3122 E MERIDIAN PARK LOOP, WASILLA, AK, 99654 |
Signature of
| Role | Plan administrator |
| Date | 2019-10-15 |
| Name of individual signing | REBECCA RUDD |
| Role | Employer/plan sponsor |
| Date | 2019-10-15 |
| Name of individual signing | REBECCA RUDD |
| License Number | Type | Status | Issue Date | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| 1019166 | Business License | Active | 2015-04-01 | 2024-12-09 | 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 |
|---|---|---|---|---|---|---|
| 160713 | Telemedicine Business Registry | Telemedicine Business Registry | Active | 2020-04-17 | 2020-04-17 | - |
| 160714 | Telemedicine Business Registry | Telemedicine Business Registry | Active | 2020-04-17 | 2020-04-17 | - |
| 161918 | Telemedicine Business Registry | Telemedicine Business Registry | Active | 2020-05-19 | 2020-05-15 | - |
Date of last update: 24 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
