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Creekside Family Health Clinic, Incorporated

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Details

Entity Number 10002139

Status Good Standing

NameCreekside Family Health Clinic, Incorporated

Date of registration 02 Jan 2012 (13 years ago)

Legal typeBusiness Corporation

Place of FormationALASKA

Address 1225 TONGASS AVENUE, KETCHIKAN, AK 99901

Address ZIP code 99901

Activity

Line of Business

62 Health Care and Social Assistance

NAICS

621511 MEDICAL LABORATORIES

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address

YJYYMWZ5B9V7

2023-04-15

320 BAWDEN ST APT 313, KETCHIKAN, AK, 99901, 6544, USA

320 BAWDEN ST APT 313, KETCHIKAN, AK, 99901, 6544, USA

Business Information

Congressional District00
State/Country of IncorporationAK, USA
Activation Date2022-03-18
Initial Registration Date2021-04-13
Entity Start Date2012-01-01
Fiscal Year End Close DateDec 31

Service Classifications

NAICS Codes621399, 621498, 621511
Product and Service CodesQ201, Q301, Q403, Q701

Points of Contacts

Electronic Business
TitlePRIMARY POC
NameTREVOR A SHAW
Address320 BAWDEN ST, SUITE 312, KETCHIKAN, AK, 99901, USA
Government Business
TitlePRIMARY POC
NameTREVOR A SHAW
Address320 BAWDEN ST, SUITE 312, KETCHIKAN, AK, 99901, USA
Past PerformanceInformation not Available

Director

Name Role

Shawna Strouth-Shaw

Director

Trevor Shaw

Director

President

Name Role

Shawna Strouth-Shaw

President

Shareholder

Name Role

Shawna Strouth-Shaw

Shareholder

Trevor Shaw

Shareholder

Secretary

Name Role

Trevor Shaw

Secretary

Treasurer

Name Role

Trevor Shaw

Treasurer

Vice President

Name Role

Trevor Shaw

Vice President

Assistant Secretary

Name Role

LISA SHAW

Assistant Secretary

Assistant Treasurer

Name Role

LISA SHAW

Assistant Treasurer

Registered Agent

Name Role

SHAWNA STROUTH SHAW

Registered Agent

Licenses

Type License Number Status Date of issue Date of renewal Expiration date Description

Business License

969121

Active

2012-02-07

2022-12-06

2024-12-31

LOB: 62 - Health Care and Social Assistance, NAICS: 621498 - ALL OTHER OUTPATIENT CARE CENTERS

Date of last update: 26 Aug 2024

Sources

Company info