| Name: | CentraCare Provider Services, LLC |
| Jurisdiction: | Minnesota |
| Legal type: | Limited Liability Company (Domestic) |
| Status: | Active / In Good Standing |
| Date formed: | 04 May 2017 (8 years ago) |
| Company Number: | 33581077-d330-e711-8178-00155d01c6a8 |
| File Number: | 949011100024 |
| Registered Office Address: | 1406 Sixth Avenue N, St. Cloud, MN 56303, USA |
| Principal Executive Office Address: | 1406 6th Avenue N, Saint Cloud, MN 56303, USA |
| ZIP code: | 56303 |
| County: | Stearns County |
| Place of Formation: | Minnesota |
| Name | Role | Address |
|---|---|---|
| CentraCare Health | Manager | 1406 6th Avenue N, Saint Cloud, MN 56303, USA |
| Filing Name | Filing date |
|---|---|
| Annual Reinstatement - Limited Liability Company (Domestic) | 2019-05-31 |
| Administrative Termination - Limited Liability Company (Domestic) | 2019-03-20 |
| Original Filing - Limited Liability Company (Domestic) (Business Name: CentraCare Provider Services, LLC)Nonprofit Limited Liability Company | 2017-05-04 |
Date of last update: 25 Sep 2024
Sources: Minnesota's Official State Website
