Entity Summary
ID Number: 000308615    
Summary for:  MAGELLAN MEDICAID ADMINISTRATION, INC.
The exact name of the Foreign Corporation:   MAGELLAN MEDICAID ADMINISTRATION, INC.
The name was changed from: First Health Services Corporation on 06-11-2010
Converted into Prime Therapeutics State Government Solutions LLC on 12-20-2022
Entity type:   Foreign Corporation
Identification Number: 000308615
Date of Qualification in Rhode Island:   02-14-2008 Effective Date:   02-14-2008
Date of Conversion:   12-20-2022  
Organized under the laws of: State: VA Country: USA
The location of the Principal Office:
         
Address: 11013 W. BROAD STREET, SUITE 500
City or Town, State, Zip, Country: GLEN ALLEN,   VA   23060   USA
The mailing address or specified office:
         
Address:
City or Town, State, Zip, Country:      
Agent Resigned:  N   Address Maintained:  Y  
The name and address of the Registered Agent:
         
Name: CORPORATION SERVICE COMPANY
Address: 222 JEFFERSON BOULEVARD, SUITE 200
City or Town, State, Zip, Country: WARWICK,   RI   02888   USA
The Officers and Directors of the Corporation:
TitleIndividual NameAddress
PRESIDENTMOSTAFA KAMAL 11013 W. BROAD STREET GLEN ALLEN, VA 23060 USA
TREASURERDERRICK DUKE 8621 ROBERT FULTON DRIVE COLUMBIA, MD 21046 USA
SECRETARYMICHAEL MCQUILLEN 8621 ROBERT FULTON DR COLUMBIA, MD 21046 USA
SVP & GENERAL MANAGERMEREDITH DELK 816 CONGRESS AVE., STE. 370 AUSTIN, TX 78701 USA
DIRECTORKENNETH J. FASOLA FIVE COWBOYS WAY, STE. 300 FRISCO, TX 75034 USA
DIRECTORMICHAEL MCQUILLEN 8621 ROBERT FULTON DRIVE COLUMBIA, MD 21046 USA
DIRECTORDERRICK DUKE 8621 ROBERT FULTON DRIVE COLUMBIA, MD 21046 USA
The total number of shares and the par value, if any, of each class of stock which this business entity is authorized to issue:
Class of Stock Series Par value per share Total Authorized Total issued and outstanding
No. of shares No. of shares
CWP $ 10.0000200,000200,000
Purpose:
North American Industry Classification System Code(NAICS):
View filings for this business entity:
Click here to access 2006 and 2007 annual reports filed prior to July 25, 2007. The corporate ID is required.
Business Services Division |          Rhode Island Department of State