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KOOTENAI SURGERY ASSOCIATES, PLLC

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Company Details

Name: KOOTENAI SURGERY ASSOCIATES, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 29 Sep 2008 (17 years ago)
Financial Date End: 30 Sep 2015
Date dissolved: 16 Dec 2015
Entity Number: 244110
Place of Formation: IDAHO
File Number: 0000244110
ZIP code: 83814
County: Kootenai County
Principal Address: 700 IRONWOOD DR STE 341 COEUR D ALENE, ID 83814

National Provider Identifier

NPI Number:
1205086089

Authorized Person:

Name:
DR. TIMOTHY T QUINN
Role:
PARTNER
Phone:

Taxonomy:

Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
2086673788

Form 5500 Series

Employer Identification Number (EIN):
263429831
Plan Year:
2012
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
11
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0001913394 2014-10-14
Annual Report 0001913393 2013-08-29
Annual Report 0001913392 2012-07-23
Annual Report 0001913391 2011-07-20
Annual Report 0001913390 2010-07-30

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Date of last update: 24 Sep 2024

Sources: Idaho Secretary of State