| Name: | Magellan Healthcare Provider Group, Inc. |
| Jurisdiction: | Idaho |
| Legal type: | Foreign Business Corporation |
| Status: | Active-Good Standing |
| Date of registration: | 04 Aug 2022 (2 years ago) |
| Financial Date End: | 31 Aug 2025 |
| Entity Number: | 4846839 |
| Place of Formation: | MARYLAND |
| File Number: | 834706 |
| Principal Address: | 8621 ROBERT FULTON DR COLUMBIA, MD 21046-2620 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| MICHAEL P. MCQUILLEN | Director | 8621 ROBERT FULTON DR, COLUMBIA, MD 21046 | 2023-08-21 |
| DERRICK DUKE | Director | 8621 ROBERT FULTON DR, COLUMBIA, MD 21046-2620 | 2023-08-21 |
| Teresa Medley | Director | 8621 ROBERT FULTON DRIVE, COLUMBIA, MD 21046 | 2023-08-21 |
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY | Agent | 1305 12TH AVE RD, NAMPA, ID 83686 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| DERRICK DUKE | President | 8621 ROBERT FULTON DR, COLUMBIA, MD 21046-2620 | 2023-08-21 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| MICHAEL P. MCQUILLEN | Secretary | 8621 ROBERT FULTON DR, COLUMBIA, MD 21046 | 2023-08-21 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0005870060 | 2024-08-26 |
| Annual Report | 0005367685 | 2023-08-21 |
| Initial Filing | 0004846839 | 2022-08-04 |
Date of last update: 06 Jan 2025
Sources: Idaho Secretary of State
