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CROUCH VOLUNTEER AMBULANCE SERVICE, INC.

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Company Details

Name: CROUCH VOLUNTEER AMBULANCE SERVICE, INC.
Jurisdiction: Idaho
Legal type: Non-Profit Corporation (D)
Status: Inactive-Dissolved
Date of registration: 07 Jan 1985 (40 years ago)
Financial Date End: 31 Jan 2016
Date dissolved: 28 Jan 2016
Entity Number: 242885
Place of Formation: IDAHO
File Number: 0000242885
ZIP code: 83622
County: Boise County
Mailing Address: 854 BANKS LOWMAN RD GARDEN VALLEY, ID 83622

National Provider Identifier

NPI Number:
1932250651

Authorized Person:

Name:
MR. JONATHAN C. METZ
Role:
VICE PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
146M00000X - Intermediate Emergency Medical Technician
Is Primary:
No
Selected Taxonomy:
3416L0300X - Land Ambulance
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Articles of Dissolution 0000817046 2016-01-28
Annual Report 0001907409 2014-12-12
Change of Registered Office/Agent/Both (by Entity) 0001907408 2014-07-08
Annual Report 0001907407 2014-03-26
Change of Registered Office/Agent/Both (by Entity) 0001907406 2013-02-04

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Date of last update: 24 Sep 2024

Sources: Idaho Secretary of State