| Name: | Provider Healthcare Services LLC |
| Jurisdiction: | Minnesota |
| Legal type: | Limited Liability Company (Domestic) |
| Status: | Inactive |
| Date formed: | 07 Jul 2014 (11 years ago) |
| Company Number: | ac3f6769-b406-e411-ac2f-001ec94ffe7f |
| File Number: | 768036800029 |
| Registered Office Address: | 14065 44th Ln NE, St Michael, MN 55376, USA |
| Principal Executive Office Address: | 14065 44th Lane NE, Saint Michael, MN 55376, USA |
| ZIP code: | 55376 |
| County: | Wright County |
| Place of Formation: | Minnesota |
| Name | Role | Address |
|---|---|---|
| Krisanus Medlock | Manager | 21125 John Milless Drive #786, Rogers, MN 55374, USA |
| Name | Role |
|---|---|
| Krisanus Medlock | Agent |
| Filing Name | Filing date |
|---|---|
| Conversion to 322C Due to Statute Mandate – Limited Liability Company (Domestic) | 2018-01-01 |
| Administrative Termination - Limited Liability Company (Domestic) | 2017-03-01 |
| Original Filing - Limited Liability Company (Domestic) (Business Name: Provider Healthcare Services LLC) | 2014-07-07 |
Date of last update: 01 Dec 2024
Sources: Minnesota's Official State Website
