Company Details
| Name: |
IDAHO FALLS CLINIC, P.A. |
| Jurisdiction: |
Idaho |
| Legal type: |
Professional Service Corporation (D) |
| Status: |
Inactive-Dissolved
|
| Date of registration: |
28 Dec 1971 (53 years ago)
|
| Financial Date End: |
31 Dec 2024 |
| Date dissolved: |
20 Jul 2024 |
| Entity Number: |
146159 |
| Place of Formation: |
IDAHO |
| File Number: |
146159 |
| Mailing Address: |
STEVEN J WRIGHT PO BOX 50578 IDAHO FALLS, ID 83405-0578 |
Agent
| Name |
Role |
Address |
|
Steven J Wright
|
Agent
|
477 SHOUP AVE STE 109, IDAHO FALLS, ID 83405
|
Director
| Name |
Role |
Address |
Appointed On |
|
Leland J Krantz
|
Director
|
477 SHOUP AVE STE 109, IDAHO FALLS, ID 83405
|
2023-11-10
|
|
Alan J Avondet
|
Director
|
477 SHOUP AVE STE 109, IDAHO FALLS, ID 83405
|
2022-05-18
|
National Provider Identifier
Authorized Person:
Name:
MS. CHRISTINE C. CLARK
Taxonomy:
Selected Taxonomy:
261Q00000X - Clinic/Center
Contacts:
Form 5500 Series
Employer Identification Number (EIN):
820299556
Number Of Participants:
1
Sponsors Telephone Number:
Number Of Participants:
27
Sponsors Telephone Number:
Number Of Participants:
26
Sponsors Telephone Number:
Number Of Participants:
28
Sponsors Telephone Number:
Number Of Participants:
28
Sponsors Telephone Number:
This company hasn't received any reviews.
Date of last update: 27 May 2025
Sources:
Idaho Secretary of State
