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LIFESPAN PRIMARY CARE LLC

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Company Details

Name: LIFESPAN PRIMARY CARE LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved
Date of registration: 19 Jun 2006 (19 years ago)
Financial Date End: 30 Jun 2011
Date dissolved: 19 Jan 2010
Entity Number: 167041
Place of Formation: IDAHO
File Number: 0000167041
ZIP code: 83301
County: Twin Falls County
Principal Address: 550 POLK ST TWIN FALLS, ID 83301

National Provider Identifier

NPI Number:
1023189800

Authorized Person:

Name:
MRS. BEVERLY ANN HALL
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
2087367089

Filing

Filing Name Filing Number Filing date
Application for Reinstatement 0001578547 2010-01-21
Application for Reinstatement 0000765832 2010-01-19
Legacy Amendment 0001578545 2008-05-22
Annual Report 0001578546 2007-05-14
Initial Filing 0000167041 2006-06-19

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Date of last update: 23 Sep 2024

Sources: Idaho Secretary of State