| Name: | Magellan Provider Services, P.A. |
| Jurisdiction: | Minnesota |
| Legal type: | Business Corporation (Foreign) |
| Status: | Active / In Good Standing |
| Date formed: | 24 Mar 2022 (3 years ago) |
| Branch of: | Magellan Provider Services, P.A., Florida (Company Number P21000078104) |
| Company Number: | 7aefbfae-98ab-ec11-91b9-00155d32b93a |
| File Number: | 1305183500027 |
| Registered Office Address: | 2345 Rice Street, Suite 230, Roseville, MN 55113, USA |
| Mailing Address: | 8621 Robert Fulton Drive, Columbia, MD 21046, USA |
| ZIP code: | 55113 |
| County: | Ramsey County |
| Place of Formation: | Florida |
| Name | Role | Address |
|---|---|---|
| Brantley Jolly | Chief Executive Officer | 6303 COWBOYS WAY, FRISCO, TX 75034–2364, USA |
| Name | Role |
|---|---|
| Corporation Service Company | Agent |
| Filing Name | Filing date |
|---|---|
| Original Filing - Business Corporation (Foreign) (Business Name: Magellan Provider Services, P.A.)Professional Service - Medicine & Surgery | 2022-03-24 |
Date of last update: 26 Sep 2024
Sources: Minnesota's Official State Website
