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COEUR D'ALENE PEDIATRICS, P.A.

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Company Details

Name: COEUR D'ALENE PEDIATRICS, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 24 Sep 1984 (41 years ago)
Financial Date End: 30 Sep 2025
Entity Number: 240755
Place of Formation: IDAHO
File Number: 240755
ZIP code: 83814
County: Kootenai County
Mailing Address: STE 102 700 W IRONWOOD DR COEUR D ALENE, ID 83814-2666

President

Name Role Address Appointed On
Cheri Savage President 700 IRONWOOD DR, STE 155, COEUR D ALENE, ID 83814 2020-08-10

Secretary

Name Role Address Appointed On
JONATHAN JERKINS Secretary 700 W IRONWOOD DR STE 155, COEUR D ALENE, ID 83814 2023-08-07

Treasurer

Name Role Address Appointed On
Duane Craddock Treasurer 700 IRONWOOD DR STE 155, COEUR D ALENE, ID 83814 2023-08-07

Agent

Name Role Address
TERENCE E. NEFF, M.D. Agent 700 IRONWOOD DRIVE, #102, COEUR D'ALENE, ID 83814

National Provider Identifier

NPI Number:
1255496980
Certification Date:
2025-05-29

Authorized Person:

Name:
MRS. CARI WARREN
Role:
OFFICE ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
208000000X - Pediatrics Physician
Is Primary:
Yes

Contacts:

Fax:
2086252075
Fax:
2086670876

Form 5500 Series

Employer Identification Number (EIN):
820390991
Plan Year:
2024
Number Of Participants:
74
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
74
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
76
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
78
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
69
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0005838161 2024-08-03
Annual Report 0005355274 2023-08-07
Annual Report 0004839840 2022-08-03
Annual Report 0004386836 2021-08-17
Annual Report 0003963929 2020-08-10

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Date of last update: 17 Jul 2025

Sources: Idaho Secretary of State