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Creekside Family Health Clinic, Incorporated

Company Details

Name: Creekside Family Health Clinic, Incorporated
Jurisdiction: Alaska
Legal type: Business Corporation
Status: Good Standing
Date of registration: 02 Jan 2012 (13 years ago)
Entity Number: 10002139
ZIP code: 99901
County: Ketchikan Gateway
Place of Formation: ALASKA
Address: 1225 TONGASS AVENUE, KETCHIKAN, AK 99901

Activity

Line of Business

62 Health Care and Social Assistance

NAICS

621498 ALL OTHER OUTPATIENT CARE CENTERS

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 District 00
State/Country of Incorporation AK, USA
Activation Date 2022-03-18
Initial Registration Date 2021-04-13
Entity Start Date 2012-01-01
Fiscal Year End Close Date Dec 31

Service Classifications

NAICS Codes 621399, 621498, 621511
Product and Service Codes Q201, Q301, Q403, Q701

Points of Contacts

Electronic Business
Title PRIMARY POC
Name TREVOR A SHAW
Address 320 BAWDEN ST, SUITE 312, KETCHIKAN, AK, 99901, USA
Government Business
Title PRIMARY POC
Name TREVOR A SHAW
Address 320 BAWDEN ST, SUITE 312, KETCHIKAN, AK, 99901, USA
Past Performance Information 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: 23 Dec 2024

Sources: State of Alaska - Department of Commerce, Community, and Economic Development