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INLAND NW RENAL CARE GROUP-GRITMAN MEDICAL CENTER, LLC

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Company Details

Name: INLAND NW RENAL CARE GROUP-GRITMAN MEDICAL CENTER, LLC
Jurisdiction: Idaho
Legal type: Foreign Limited Liability Company
Status: Active-Existing
Date of registration: 03 Dec 2007 (18 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 217891
Place of Formation: DELAWARE
File Number: 217891
Principal Address: 920 WINTER ST TAX DEPT WALTHAM, MA 2451
Mailing Address: TAX DEPT 920 WINTER ST. WALTHAM, MA 02451

Member

Name Role Address Appointed On
Inland Northwest Renal Care Group, LLC Member 920 WINTER STREET, WALTHAM, MA 02451 2020-11-25

Agent

Name Role Address
C T CORPORATION SYSTEM Agent 10020 W FAIRVIEW AVE, STE 104, BOISE, ID 83704

National Provider Identifier

NPI Number:
1538306428
Certification Date:
2023-10-17

Authorized Person:

Name:
BARRY L. BLANTON
Role:
VICE PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QE0700X - End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2088821879

Filing

Filing Name Filing Number Filing date
Registered Agent Name/Address Change (mass change) 0006271350 2025-05-27
Annual Report 0005978551 2024-11-12
Annual Report 0005461558 2023-11-04
Annual Report 0004985111 2022-11-07
Registered Agent Name/Address Change (mass change) 0004894298 2022-09-12

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Date of last update: 29 May 2025

Sources: Idaho Secretary of State