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PINNACLE HEALTH SYSTEMS, PLLC

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Company Details

Name: PINNACLE HEALTH SYSTEMS, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 21 Mar 2005 (20 years ago)
Financial Date End: 31 Mar 2023
Date dissolved: 14 Jun 2023
Entity Number: 125804
Place of Formation: IDAHO
File Number: 125804
ZIP code: 83406
County: Bonneville County
Principal Address: 1498 S. MIDWAY AVENUE SUITE 2 AMMON, ID 83406
Mailing Address: RICHARD NEW, MD STE 206 101 S PARK AVE IDAHO FALLS, ID 83402-3669

Member

Name Role Address Appointed On
Richard New MD Member 101 PARK AVE., SUITE 206, IDAHO FALLS, ID 83402 2021-02-03

Agent

Name Role Address
RICHARD NEW Agent 101 S. PARK AVENUE, SUITE 206, IRINTHA HARRIS, IDAHO FALLS, ID 83402

National Provider Identifier

NPI Number:
1275577827

Authorized Person:

Name:
DONEVAN B NEIDER
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
No
Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Fax:
2085292564

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0005280062 2023-06-14
Annual Report 0004591419 2022-02-03
Annual Report 0004152417 2021-02-03
Annual Report 0003766071 2020-02-04
Statement of Change of Business Mailing Address 0003521046 2019-05-22

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Date of last update: 24 Jun 2025

Sources: Idaho Secretary of State