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HEALTH & WELLNESS SLEEP INSTITUTE OF POCATELLO, LLC

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Company Details

Name: HEALTH & WELLNESS SLEEP INSTITUTE OF POCATELLO, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 11 Aug 2006 (19 years ago)
Financial Date End: 31 Aug 2024
Date dissolved: 15 Nov 2024
Entity Number: 171863
Place of Formation: IDAHO
File Number: 171863
ZIP code: 83221
County: Bingham County
Principal Address: 98 POPLAR ST BLACKFOOT, ID 83221
Mailing Address: 98 POPLAR ST BLACKFOOT, ID 83221-1758

Agent

Name Role Address
JAKE ERICKSON Agent 98 POPLAR ST, BLACKFOOT, ID 83221

Manager

Name Role Address Appointed On
Jake Erickson Manager 98 POPLAR STREET, BLACKFOOT, ID 83221 2020-09-16

National Provider Identifier

NPI Number:
1285958991

Authorized Person:

Name:
MR. ZAC DAVID RICE
Role:
CLINIC MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
261QS1200X - Sleep Disorder Diagnostic Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2082339300

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0005981705 2024-11-15
Annual Report 0005300379 2023-07-03
Annual Report 0004824344 2022-07-15
Annual Report 0004377385 2021-08-10
Annual Report 0004005756 2020-09-16

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Date of last update: 16 Jul 2025

Sources: Idaho Secretary of State