POCATELLO CHILDREN AND ADOLESCENT CLINIC, P.A.
| Name: | POCATELLO CHILDREN AND ADOLESCENT CLINIC, P.A. |
| Jurisdiction: | Idaho |
| Legal type: | Professional Service Corporation (D) |
| Status: | Active-Good Standing |
| Date of registration: | 28 Dec 1985 (39 years ago) |
| Financial Date End: | 31 Dec 2025 |
| Entity Number: | 250670 |
| Place of Formation: | IDAHO |
| File Number: | 250670 |
| ZIP code: | 83201 |
| County: | Bannock County |
| Mailing Address: | JESSICA PERRY 1151 HOSPITAL WAY BLDG F POCATELLO, ID 83201-5091 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Matthew Murdoch | President | 1151 HOSPITAL WAY, BLDG F, 83201, ID 83201 | 2020-11-05 |
| Name | Role | Address | Appointed On | Resigned On |
|---|---|---|---|---|
| Gentry Yost | Director | 1151 HOSPITAL WAY, BLDG F, POCATELLO, ID 83201 | 2023-11-06 | 2023-11-06 |
| Don McInturff | Director | 1151 HOSPITAL WAY, BLDG F, 83201, ID 83201 | 2023-11-06 | 2023-11-06 |
| Laura Duty | Director | 1151 HOSPITAL WAY, BLDG F, POCATELLO, ID 83201 | 2023-11-06 | 2023-11-06 |
| Shaun Summerill | Director | 1151 HOSPITAL WAY, BLDG F, POCATELLO, ID 83201 | 2023-11-06 | 2023-11-06 |
| Cindy Parsons | Director | 1151 HOSPITAL WAY, BLDG F, POCATELLO, ID 83201 | 2023-11-06 | 2023-11-06 |
| Matthew Stelzer | Director | 1151 HOSPITAL WAY, BLDG F, POCATELLO, ID 83201 | 2023-11-06 | 2023-11-06 |
| David Larsen | Director | 1151 HOSPITAL WAY, BLDG F, POCATELLO, ID 83201 | 2023-11-06 | 2023-11-06 |
| Name | Role | Address | Appointed On | Resigned On |
|---|---|---|---|---|
| David Denton | Secretary | 1151 HOSPITAL WAY, BLDG F, POCATELLO, ID 83201 | 2023-11-06 | 2023-11-06 |
| Name | Role | Address | Appointed On | Resigned On |
|---|---|---|---|---|
| Brian Fulks | Vice President | 1151 HOSPITAL WAY, BLDG F, POCATELLO, ID 83201 | 2023-11-06 | 2023-11-06 |
| Name | Role | Address |
|---|---|---|
| JESSICA PERRY | Agent | 1151 HOSPITAL WAY, BUILDING F, POCATELLO, ID 83201 |
A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.
Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a
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doing business with the federal government must register for a UEI.
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0005969492 | 2024-11-06 |
| Annual Report | 0005466246 | 2023-11-06 |
| Annual Report | 0004970051 | 2022-11-03 |
| Annual Report | 0004478037 | 2021-11-03 |
| Annual Report | 0004060110 | 2020-11-05 |
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Date of last update: 30 May 2025
Sources: Idaho Secretary of State