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GEM-STATE ANESTHESIA SERVICES, PLLC

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Company Details

Name: GEM-STATE ANESTHESIA SERVICES, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 07 Nov 1997 (28 years ago)
Expiration date: 31 Oct 2028
Financial Date End: 30 Nov 2008
Date dissolved: 05 Feb 2009
Entity Number: 28760
Place of Formation: IDAHO
File Number: 0000028760
ZIP code: 83605
County: Canyon County
Principal Address: 712 FILLMORE ST. CALDWELL, ID 83605

National Provider Identifier

NPI Number:
1023163482

Authorized Person:

Name:
JAMES WARD
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207L00000X - Anesthesiology Physician
Is Primary:
No
Selected Taxonomy:
367500000X - Certified Registered Nurse Anesthetist
Is Primary:
No

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
820496849
Plan Year:
2009
Number Of Participants:
1
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0001031371 2008-01-23
Legacy Amendment 0000653951 2007-03-20
Annual Report 0001031370 2006-09-19
Annual Report 0001031367 2005-11-10
Annual Report 0001031366 2005-01-31

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Date of last update: 22 Sep 2024

Sources: Idaho Secretary of State