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ALPINE ANESTHESIA, LLC

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Company Details

Name: ALPINE ANESTHESIA, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 31 Jan 2011 (15 years ago)
Financial Date End: 31 Jan 2026
Entity Number: 309424
Place of Formation: IDAHO
File Number: 309424
ZIP code: 83221
County: Bingham County
Principal Address: 300 E 100 N BLACKFOOT, ID 83221
Mailing Address: 300 E 100 N BLACKFOOT, ID 83221-5902

Agent

Name Role Address
BRENDA L HATCH Agent 300 E 100 N, BLACKFOOT, ID 83221

Member

Name Role Address Appointed On
Brenda L Hatch Member 300 E 100 N, BLACKFOOT, ID 83221 2020-12-17

National Provider Identifier

NPI Number:
1679302137
Certification Date:
2024-07-31

Authorized Person:

Name:
BRENDA HATCH
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
367500000X - Certified Registered Nurse Anesthetist
Is Primary:
Yes

Contacts:

Fax:
2085238978

Filing

Filing Name Filing Number Filing date
Annual Report 0006004440 2024-12-03
Annual Report 0005494420 2023-12-03
Annual Report 0005036379 2022-12-22
Annual Report 0004542109 2021-12-27
Annual Report 0004102912 2020-12-17

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Date of last update: 05 Aug 2025

Sources: Idaho Secretary of State