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MAGIC VALLEY MIDWIFERY, LLC

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Company Details

Name: MAGIC VALLEY MIDWIFERY, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 26 Nov 2007 (18 years ago)
Financial Date End: 30 Nov 2010
Date dissolved: 08 Feb 2011
Entity Number: 217271
Place of Formation: IDAHO
File Number: 0000217271
ZIP code: 83338
County: Jerome County
Principal Address: 276 SOUTH 360 WEST JEROME, ID 83338

National Provider Identifier

NPI Number:
1457596769

Authorized Person:

Name:
MS. CONNIE JEAN WOLCOTT
Role:
CERTIFIED NURSE-MIDWIFE
Phone:

Taxonomy:

Selected Taxonomy:
261QA0005X - Ambulatory Family Planning Facility
Is Primary:
Yes

Contacts:

Fax:
2083242778

Filing

Filing Name Filing Number Filing date
Annual Report 0001789981 2009-11-11
Annual Report 0001789982 2008-10-16
Initial Filing 0000217271 2007-11-26

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Date of last update: 24 Sep 2024

Sources: Idaho Secretary of State