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TAMARACK EAGLE MEDICAL, L.L.C.

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Company Details

Name: TAMARACK EAGLE MEDICAL, L.L.C.
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 16 Feb 2011 (14 years ago)
Financial Date End: 28 Feb 2013
Date dissolved: 10 May 2013
Entity Number: 311103
Place of Formation: IDAHO
File Number: 0000311103
ZIP code: 83616
County: Ada County
Principal Address: 3286 N SHADOW HILLS DR EAGLE, ID 83616

National Provider Identifier

NPI Number:
1255621835

Authorized Person:

Name:
DR. ROURKE YEAKLEY
Role:
SOLE MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
122300000X - Dentist
Is Primary:
No
Selected Taxonomy:
208D00000X - General Practice Physician
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0002290531 2012-03-08
Initial Filing 0000311103 2011-02-16

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Date of last update: 24 Sep 2024

Sources: Idaho Secretary of State