Entity Number 115715
Status Good Standing
NameLifeMed Alaska LLC
Date of registration 28 Apr 2008 (16 years ago) 28 Apr 2008
Legal typeLimited Liability Company
Place of FormationALASKA
Address 3838 W 50TH AVE, ANCHORAGE, AK 99502
Address ZIP code 99502
Mailing Address PO BOX 190026, ANCHORAGE, AK 99519-0026
Mailing Address ZIP code 99519-0026
Line of Business
62 Health Care and Social AssistanceNAICS
621910 AMBULANCE SERVICESHF35NNLM3JQ9
2025-02-21
6320 S AIRPARK PL, ANCHORAGE, AK, 99502, 1865, USA
3838 W 50TH AVENUE, ANCHORAGE, AK, 99502, 1865, USA
Business Information
| URL | www.lifemedalaska.com |
| Division Name | LIFEMED ALASKA, LLC |
| Division Number | LIFEMED AL |
| Congressional District | 00 |
| State/Country of Incorporation | AK, USA |
| Activation Date | 2024-02-26 |
| Initial Registration Date | 2012-08-21 |
| Entity Start Date | 2008-11-01 |
| Fiscal Year End Close Date | Dec 31 |
Service Classifications
| NAICS Codes | 621910 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | GRACE GREENE |
| Address | 3838 W 50TH AVE, ANCHORAGE, AK, 99502, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | GRACE GREENE |
| Address | 3838 W 50TH AVE, ANCHORAGE, AK, 99502, USA |
| Past Performance | Information not Available |
|---|
LIFEMED ALASKA, LLC 401(K) PROFIT SHARING PLAN AND TRUST
2010
262512960
2012-09-25
LIFEMED ALASKA, LLC
76
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2008-01-01 |
| Business code | 621900 |
| Sponsor’s telephone number | 9072498401 |
| Plan sponsor’s address | 6320 SOUTH AIRPARK PLACE, ANCHORAGE, AK, 99502 |
Plan administrator’s name and address
| Administrator’s EIN | 262512960 |
| Plan administrator’s name | LIFEMED ALASKA, LLC |
| Plan administrator’s address | 6320 SOUTH AIRPARK PLACE, ANCHORAGE, AK, 99502 |
| Administrator’s telephone number | 9072498401 |
Signature of
| Role | Plan administrator |
| Date | 2012-09-25 |
| Name of individual signing | JARED SHERMAN |
| Role | Employer/plan sponsor |
| Date | 2012-09-25 |
| Name of individual signing | JARED SHERMAN |
LIFEMED ALASKA, LLC 401(K) PROFIT SHARING PLAN AND TRUST
2010
262512960
2011-10-17
LIFEMED ALASKA, LLC
76
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2008-01-01 |
| Business code | 621900 |
| Sponsor’s telephone number | 9072498401 |
| Plan sponsor’s address | 6320 SOUTH AIRPARK PLACE, ANCHORAGE, AK, 99502 |
Plan administrator’s name and address
| Administrator’s EIN | 262512960 |
| Plan administrator’s name | LIFEMED ALASKA, LLC |
| Plan administrator’s address | 6320 SOUTH AIRPARK PLACE, ANCHORAGE, AK, 99502 |
| Administrator’s telephone number | 9072498401 |
Signature of
| Role | Plan administrator |
| Date | 2011-10-17 |
| Name of individual signing | JARED SHERMAN |
| Role | Employer/plan sponsor |
| Date | 2011-10-17 |
| Name of individual signing | JARED SHERMAN |
LIFEMED ALASKA, LLC 401(K) PROFIT SHARING PLAN AND TRUST
2009
262512960
2011-10-06
LIFEMED ALASKA, LLC
60
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2008-01-01 |
| Business code | 621900 |
| Sponsor’s telephone number | 9072498401 |
| Plan sponsor’s address | 6320 SOUTH AIRPARK PLACE, ANCHORAGE, AK, 99502 |
Plan administrator’s name and address
| Administrator’s EIN | 262512960 |
| Plan administrator’s name | LIFEMED ALASKA, LLC |
| Plan administrator’s address | 6320 SOUTH AIRPARK PLACE, ANCHORAGE, AK, 99502 |
| Administrator’s telephone number | 9072498401 |
Signature of
| Role | Plan administrator |
| Date | 2011-10-06 |
| Name of individual signing | JARED SHERMAN |
| Role | Employer/plan sponsor |
| Date | 2011-10-06 |
| Name of individual signing | JARED SHERMAN |
LIFEMED ALASKA, LLC 401(K) PROFIT SHARING PLAN AND TRUST
2009
262512960
2010-10-14
LIFEMED ALASKA, LLC
60
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2008-01-01 |
| Business code | 621900 |
| Sponsor’s telephone number | 9072498401 |
| Plan sponsor’s address | P.O. BOX 190026, ANCHORAGE, AK, 99519 |
Plan administrator’s name and address
| Administrator’s EIN | 262512960 |
| Plan administrator’s name | LIFEMED ALASKA, LLC |
| Plan administrator’s address | P.O. BOX 190026, ANCHORAGE, AK, 99519 |
| Administrator’s telephone number | 9072498401 |
Signature of
| Role | Plan administrator |
| Date | 2010-10-14 |
| Name of individual signing | LUKE WELLES |
| Role | Employer/plan sponsor |
| Date | 2010-10-14 |
| Name of individual signing | LUKE WELLES |
PROVIDENCE HEALTH SYSTEM-WASHINGTON
Member
YUKON-KUSKOKWIM HEALTH CORPORATION
Member
Amy Miller
Manager
Patrick Tall
Manager
STANLEY "STOSH" HOFFMAN JR
Manager
Ella Goss
Manager
DANIEL WILKELMAN
Manager
Scott J. Gerlach
Registered Agent
Business License
915056
Active
2008-05-01
2023-11-08
2024-12-31
LOB: 62 - Health Care and Social Assistance, NAICS: 621999 - ALL OTHER MISCELLANEOUS AMBULATORY HEALTH CARE SERVICES
Date of last update: 26 Aug 2024
Sources
