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SURGERY CENTER ANESTHESIA, PLLC

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Company Details

Name: SURGERY CENTER ANESTHESIA, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 15 Feb 2011 (14 years ago)
Financial Date End: 28 Feb 2018
Date dissolved: 31 May 2018
Entity Number: 311048
Place of Formation: IDAHO
File Number: 0000311048
ZIP code: 83201
County: Bannock County
Principal Address: 607 UNIVERSITY DR POCATELLO, ID 83201

National Provider Identifier

NPI Number:
1457658668

Authorized Person:

Name:
DR. KEITH W SCHEUERMANN
Role:
SECRETARY/TREASURERE
Phone:

Taxonomy:

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

Contacts:

Fax:
2085232025

Filing

Filing Name Filing Number Filing date
Annual Report 0002290209 2017-01-03
Annual Report 0002290208 2015-12-28
Legacy Amendment 0000849915 2015-10-29
Annual Report 0002290207 2015-01-09
Annual Report 0002290206 2014-01-03

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Date of last update: 24 Sep 2024

Sources: Idaho Secretary of State