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WILLIAM C. FITZHUGH, M.D., P.A.

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Company Details

Name: WILLIAM C. FITZHUGH, M.D., P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 25 Mar 1982 (43 years ago)
Financial Date End: 31 Mar 2016
Date dissolved: 23 Jun 2016
Entity Number: 218766
Place of Formation: IDAHO
File Number: 0000218766
ZIP code: 83301
County: Twin Falls County
Mailing Address: 1415 PARKVIEW DR. TWIN FALLS, ID 83301

National Provider Identifier

NPI Number:
1427096148

Authorized Person:

Name:
DR. JAMES COOMBS
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
207W00000X - Ophthalmology Physician
Is Primary:
Yes

Contacts:

Fax:
2087348974

Form 5500 Series

Employer Identification Number (EIN):
820369780
Plan Year:
2012
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
12
Sponsors DBA Name:
FITZHUGH VISION CLINIC
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0001795943 2015-02-03
Annual Report 0001795940 2014-03-03
Annual Report 0001795938 2013-04-08
Legacy Amendment 0001795936 2012-11-29
Change of Registered Office/Agent/Both (by Entity) 0001795935 2012-11-29

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Date of last update: 24 Sep 2024

Sources: Idaho Secretary of State