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POCATELLO PA SERVICE, LLC

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Company Details

Name: POCATELLO PA SERVICE, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 15 May 2008 (17 years ago)
Financial Date End: 31 May 2022
Date dissolved: 04 Aug 2022
Entity Number: 233351
Place of Formation: IDAHO
File Number: 233351
ZIP code: 83201
County: Bannock County
Principal Address: 2310 SATTERFIELD DR POCATELLO, ID 83201
Mailing Address: 2310 SATTERFIELD DR POCATELLO, ID 83201-7905

Agent

Name Role Address
STEVEN BOE SIMMONS PA-C Agent 2310 SATTERFIELD DR, POCATELLO, ID 83201

Member

Name Role Address Appointed On
STEVEN BOE SIMMONS PA-C Member 2310 SATTERFIELD DR, POCATELLO, ID 83201 2021-04-06

National Provider Identifier

NPI Number:
1952668568

Authorized Person:

Name:
STEVEN BOE SIMMONS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0004843676 2022-08-04
Annual Report 0004237461 2021-04-06
Annual Report 0003844182 2020-04-13
Annual Report 0003497757 2019-04-30
Annual Report 0001860298 2018-03-23

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Date of last update: 06 May 2025

Sources: Idaho Secretary of State