| Name: | Tanana Valley Clinic, LLC |
| Jurisdiction: | Alaska |
| Legal type: | Limited Liability Company |
| Status: | Good Standing |
| Date of registration: | 11 Jul 2016 (9 years ago) |
| Entity Number: | 10039906 |
| ZIP code: | 99701 |
| County: | Fairbanks North Star |
| Place of Formation: | ALASKA |
| Address: | 1001 NOBLE STREET, FAIRBANKS, AK 99701 |
| Mailing Address: | PO BOX 71396, FAIRBANKS, AK 99707 |
| Supporting healthcare providers fighting with COVID-19: | $408,174 |
Line of Business
62 Health Care and Social AssistanceNAICS
621111 OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)| Name | Role |
|---|---|
| Foundation Health, LLC | Organizer |
| Foundation Health, LLC | Member |
| Shelley Ebenal | Registered Agent |
| License Number | Type | Status | Issue Date | Date of renewal | Expiration date | Description |
|---|---|---|---|---|---|---|
| 1043161 | Business License | Active | 2016-10-04 | 2024-10-15 | 2026-12-31 | LOB: 62 - Health Care and Social Assistance, NAICS: 621111 - OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS) |
| Title | Date | Case Type | Status | Open |
|---|---|---|---|---|
| 4FA-24-01343CI Guhrt, Kindahl et al vs. Freeman, APRN, Kira Y et al EAP | 2024-04-16 | Civil Superior Ct (4FA) | Open | Open Case Link |
| Inspection Nr | Report ID | Date Opened | Site Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 343068292 | 1050210 | 2018-04-12 | TANANA VALLEY CLINIC 1001 NOBLE ST., FAIRBANKS, AK, 99701 | |||||||||||||||||||||||||||||||||||||||||||||
|
||||||||||||||||||||||||||||||||||||||||||||||||
| Type | Complaint |
| Activity Nr | 1325473 |
| Safety | Yes |
Violation Items
| Citation ID | 01001 |
| Citaton Type | Other |
| Standard Cited | 19101200 G01 |
| Issuance Date | 2018-06-26 |
| Abatement Due Date | 2018-08-13 |
| Current Penalty | 0.0 |
| Initial Penalty | 0.0 |
| Final Order | 2018-08-13 |
| Nr Instances | 2 |
| Nr Exposed | 11 |
| Related Event Code (REC) | Complaint |
| FTA Current Penalty | 0.0 |
Date of last update: 23 Jan 2025
Sources: State of Alaska - Department of Commerce, Community, and Economic Development
