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SIPI AMBULATORY SURGERY CENTER LLC

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Company Details

Name: SIPI AMBULATORY SURGERY CENTER LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 16 Sep 2010 (15 years ago)
Financial Date End: 30 Sep 2025
Entity Number: 298944
Place of Formation: IDAHO
File Number: 298944
ZIP code: 83301
County: Twin Falls County
Principal Address: 176 FALLS AVE TWIN FALLS, ID 83301
Mailing Address: 176 FALLS AVE TWIN FALLS, ID 83301-2306

Agent

Name Role Address
Denise Rue Agent 176 FALLS AVE, TWIN FALLS, ID 83301

Member

Name Role Address Appointed On Resigned On
Clinton L Dille Member 176 FALLS AVE, TWIN FALLS, ID 83301 2020-09-03 2023-08-18

Manager

Name Role Address Appointed On
Denise Rue Manager 176 FALLS AVE, TWIN FALLS, ID 83301-2306 2023-08-18

Unique Entity ID

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 government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
M2C6PGB3AXT3
UEI Expiration Date:
2025-08-21

Business Information

Division Name:
SIPI AMBULATORY SURGEY CENTER
Activation Date:
2024-08-23
Initial Registration Date:
2023-11-22

National Provider Identifier

NPI Number:
1518272087

Authorized Person:

Name:
DENISE S RUE
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2087333168

Filing

Filing Name Filing Number Filing date
Annual Report 0005877084 2024-09-03
Change of Registered Office/Agent/Both (by Entity) 0005366502 2023-08-18
Annual Report 0005366509 2023-08-18
Statement of Rescission of Dissolution (LLC) 0005186054 2023-04-03
Statement of Dissolution 0005127437 2023-02-28

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Date of last update: 01 Jun 2025

Sources: Idaho Secretary of State