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ADA ORTHOPAEDIC CLINIC

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Company Details

Name: ADA ORTHOPAEDIC CLINIC
Jurisdiction: Idaho
Legal type: Assumed Business Name
Status: Active-Current
Date of registration: 18 Oct 2004 (21 years ago)
Entity Number: 253161
Place of Formation: IDAHO
File Number: 0000253161
ZIP code: 83704
County: Ada County
Mailing Address: 6500 EMERALD BOISE, ID 83704

National Provider Identifier

NPI Number:
1386806347

Authorized Person:

Name:
JOYCE L COOPER
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
2083771070

Form 5500 Series

Employer Identification Number (EIN):
203717348
Plan Year:
2014
Number Of Participants:
24
Sponsors Telephone Number:
Plan Year:
2014
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2013
Number Of Participants:
24
Sponsors Telephone Number:
Plan Year:
2012
Number Of Participants:
19
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
18
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Initial Filing 0000253161 2004-10-18

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Date of last update: 24 Sep 2024

Sources: Idaho Secretary of State