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SURGICAL GROUP, P.A. (THE)

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Company Details

Name: SURGICAL GROUP, P.A. (THE)
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 13 Jun 1978 (47 years ago)
Financial Date End: 30 Jun 2020
Date dissolved: 02 Sep 2020
Entity Number: 187301
Place of Formation: IDAHO
File Number: 187301
ZIP code: 83605
County: Canyon County
Mailing Address: 404 E ELM ST CALDWELL, ID 83605-4846

Agent

Name Role Address
RYAN W HARDY Agent 404 E ELM STREET, CALDWELL, ID 83605

National Provider Identifier

NPI Number:
1609839398

Authorized Person:

Name:
JON AGEE
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
2084590380

Form 5500 Series

Employer Identification Number (EIN):
820341682
Plan Year:
2018
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
12
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0003989616 2020-09-02
Annual Report 0003515967 2019-05-18
Change of Registered Office/Agent/Both (by Entity) 0001664033 2018-05-11
Annual Report 0001664032 2018-04-30
Annual Report 0001664008 2017-04-28

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Date of last update: 16 Jul 2025

Sources: Idaho Secretary of State