| Name: | Providence Health & Services - Montana |
| Jurisdiction: | Alaska |
| Legal type: | Nonprofit Corporation |
| Status: | Good Standing |
| Date of registration: | 30 May 2018 (7 years ago) |
| Entity Number: | 10085313 |
| Place of Formation: | MONTANA |
| Address: | 1801 LIND AVE. SW, #9016, RENTON, WA 98057 |
| Name | Role |
|---|---|
| Erik G. Wexler | President |
| Richard Blair | Director |
| CSJ,RN, Sr. Diane Hejna | Director |
| Mary Beth Kingston | Director |
| PhD Mary Lyons | Director |
| RSM, Dr. PH, Sr. Phyllis Hughes | Director |
| Donald W. Anderson | Assistant Secretary |
| Gregory Hoffman | Treasurer |
| Ph.D., Isiaah Crawford | Director |
| Donna Markham | Director |
| License Number | Program | Type | Status | Issue Date | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|
| 136517 | Telemedicine Business Registry | Telemedicine Business Registry | Active | 2018-07-23 | 2018-07-23 | - |
Date of last update: 23 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
