| Name: | PRIME THERAPEUTICS STATE GOVERNMENT SOLUTIONS LLC |
| Legal type: | Foreign Limited Liability Company |
| Status: | Active |
| Standing: | Good |
| Profit or Non-Profit: | Profit |
| File Date: | 10 Nov 2004 (20 years ago) |
| Authority Date: | 10 Nov 2004 (20 years ago) |
| Last Annual Report: | 29 Jun 2024 (10 months ago) |
| Organization Number: | 0598871 |
| Industry: | Health Services |
| Number of Employees: | Small (0-19) |
| Principal Office: | 11013 W Broad Street,, Glen Allen, VA 23060 |
| Place of Formation: | VIRGINIA |
| Name | Role |
|---|---|
| Michael Kolar | Manager |
| Mark Renze | Manager |
| Mostafa Kamal | Manager |
| Name | Role |
|---|---|
| C T CORPORATION SYSTEM | Registered Agent |
| Name | Action |
|---|---|
| MAGELLAN MEDICAID ADMINISTRATION, LLC | Old Name |
| MAGELLAN MEDICAID ADMINISTRATION, INC. | Type Conversion |
| FIRST HEALTH SERVICES CORPORATION | Old Name |
| Name | File Date |
|---|---|
| Amended Cert of Authority | 2024-10-04 |
| Principal Office Address Change | 2024-06-29 |
| Annual Report | 2024-06-29 |
| Registered Agent name/address change | 2024-05-08 |
| Principal Office Address Change | 2023-05-16 |
| Annual Report | 2023-05-16 |
| Amendment | 2022-12-08 |
| Annual Report | 2022-06-30 |
| Annual Report | 2021-06-24 |
| Annual Report | 2020-06-19 |
| Branch | Date of Service | Fiscal Year | Cabinet | Department | Classification | Item Name | Amount |
|---|---|---|---|---|---|---|---|
| Executive | 2024-11-08 | 2025 | Health & Family Services Cabinet | Department For Medicaid Services | Pro Contract (Inc Per Serv) | Other Professional Services-1099 Rept | 37983.16 |
Sources: Kentucky Secretary of State
