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MERIDIAN FAMILY MEDICINE

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Company Details

Name: MERIDIAN FAMILY MEDICINE
Jurisdiction: Idaho
Legal type: Assumed Business Name
Status: Active-Current
Date of registration: 30 Jun 2006 (19 years ago)
Entity Number: 313523
Place of Formation: IDAHO
File Number: 0000313523
ZIP code: 83642
County: Ada County
Mailing Address: 2102 E HANDEL COURT MERIDIAN, ID 83642

National Provider Identifier

NPI Number:
1093101438

Authorized Person:

Name:
MS. NATALIA A DUNN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
8884159555

Filing

Filing Name Filing Number Filing date
Amendment of Certificate of Assumed Business Name 0000851036 2006-10-16
Initial Filing 0000313523 2006-06-30

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Date of last update: 24 Sep 2024

Sources: Idaho Secretary of State