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SAINT ALPHONSUS NEPHROLOGY CENTER, L.L.C.

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Company Details

Name: SAINT ALPHONSUS NEPHROLOGY CENTER, L.L.C.
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 15 Dec 1995 (30 years ago)
Expiration date: 31 Dec 2025
Financial Date End: 31 Dec 2008
Date dissolved: 06 Mar 2009
Entity Number: 12393
Place of Formation: IDAHO
File Number: 0000012393
ZIP code: 83702
County: Ada County
Principal Address: 601 W BANNOCK BOISE, ID 83702

National Provider Identifier

NPI Number:
1992796171

Authorized Person:

Name:
JAN M JACOBS
Role:
ACCOUNTS RECEIVABLE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
261QE0700X - End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2083676909
Fax:
2084674475

Filing

Filing Name Filing Number Filing date
Application for Reinstatement 0000977430 2008-07-02
Application for Reinstatement 0000644561 2008-07-01
Annual Report 0000977426 2006-12-14
Annual Report 0000977425 2005-12-28
Annual Report 0000977424 2004-10-22

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Date of last update: 22 Sep 2024

Sources: Idaho Secretary of State