Name: | Northwoods Family Medicine, Inc. |
Jurisdiction: | Alaska |
Legal type: | Business Corporation |
Status: | Good Standing |
Date of registration: | 01 Nov 2016 (8 years ago) |
Entity Number: | 10043898 |
ZIP code: | 99654 |
County: | Matanuska Susitna |
Place of Formation: | ALASKA |
Address: | 1301 E PALMER WASILLA HWY, STE 400, WASILLA, AK 99654 |
Mailing Address: | 1301 E. PALMER-WASILLA HWY, STE 400, WASILLA, AK 99654 |
Supporting healthcare providers fighting with COVID-19: | $4,075 |
Line of Business
62 Health Care and Social AssistanceNAICS
621111 OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)Name | Role |
---|---|
Don Smith | Director |
Don Smith | President |
Don Smith | Shareholder |
Adam Greathouse | Director |
Adam Greathouse | Secretary |
Adam Greathouse | Shareholder |
Adam Greathouse | Treasurer |
Adam Greathouse | Vice President |
Don Smith | Registered Agent |
License Number | Type | Status | Issue Date | Date of renewal | Expiration date | Description |
---|---|---|---|---|---|---|
1044975 | Business License | Active | 2016-11-10 | 2024-12-23 | 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 |
---|---|---|---|---|---|---|
159332 | Telemedicine Business Registry | Telemedicine Business Registry | Active | 2020-03-22 | 2020-03-22 | - |
Date of last update: 28 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development