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INTERMOUNTAIN ORTHOPAEDIC, PLLC

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Company Details

Name: INTERMOUNTAIN ORTHOPAEDIC, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 17 Jan 2008 (17 years ago)
Financial Date End: 31 Jan 2012
Date dissolved: 09 Apr 2012
Entity Number: 222142
Place of Formation: IDAHO
File Number: 0000222142
ZIP code: 83702
County: Ada County
Principal Address: 600 N ROBBINS RD STE 401 BOISE, ID 83702

National Provider Identifier

NPI Number:
1336392448

Authorized Person:

Name:
MR. HOWARD ARTHUR KING
Role:
OWNER/PARTNER
Phone:

Taxonomy:

Selected Taxonomy:
207X00000X - Orthopaedic Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
2084894300

Filing

Filing Name Filing Number Filing date
Annual Report 0001810610 2010-12-03
Application for Reinstatement 0001810612 2010-04-28
Application for Reinstatement 0000806119 2010-04-23
Annual Report 0001810611 2008-11-18
Initial Filing 0000222142 2008-01-17

USAspending Awards / Contracts

Procurement Instrument Identifier:
VA531C15055
Award Or Idv Flag:
AWARD
Award Type:
PO
Action Obligation:
-79166.00
Base And Exercised Options Value:
-79166.00
Base And All Options Value:
-79166.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2011-09-14
Description:
INTERIM PO UNTIL CONTRACT CAN BE PUT IN PLACE
Naics Code:
621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product Or Service Code:
Q513: ORTHOPEDIC SERVICES
Procurement Instrument Identifier:
VA531C05040
Award Or Idv Flag:
AWARD
Award Type:
PO
Action Obligation:
108000.00
Base And Exercised Options Value:
108000.00
Base And All Options Value:
108000.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2010-04-01
Description:
ORTHOPEDIC SURGEON SERVICES-INTERIM PO WHILE CONTRACT IS BEING FINALIZED
Naics Code:
621493: FREESTANDING AMBULATORY SURGICAL AND EMERGENCY CENTERS
Product Or Service Code:
Q513: ORTHOPEDIC SERVICES
Procurement Instrument Identifier:
VA260P00656
Award Or Idv Flag:
AWARD
Award Type:
DCA
Action Obligation:
204566.70
Base And Exercised Options Value:
204566.70
Base And All Options Value:
204566.70
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2007-08-01
Description:
ORTHOPEDIC SERVICES
Naics Code:
621999: ALL OTHER MISCELLANEOUS AMBULATORY HEALTH CARE SERVICES
Product Or Service Code:
Q513: ORTHOPEDIC SERVICES

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Date of last update: 24 Sep 2024

Sources: Idaho Secretary of State