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INTERMOUNTAIN SURGERY CENTER, L.L.C.

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Company Details

Name: INTERMOUNTAIN SURGERY CENTER, L.L.C.
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 26 Feb 1998 (27 years ago)
Expiration date: 26 Feb 2038
Financial Date End: 28 Feb 2011
Date dissolved: 13 May 2011
Entity Number: 31472
Place of Formation: IDAHO
File Number: 0000031472
ZIP code: 83702
County: Ada County
Principal Address: 600 N. ROBBINS ROAD, SUITE 400 BOISE, ID 83702

National Provider Identifier

NPI Number:
1609983089

Authorized Person:

Name:
MS. BRANDI BARNHART
Role:
BILLING COORDINATOR
Phone:

Taxonomy:

Selected Taxonomy:
207X00000X - Orthopaedic Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
2084894300
Fax:
2084894010

Filing

Filing Name Filing Number Filing date
Annual Report 0001043911 2009-12-16
Application for Reinstatement 0001043923 2009-05-27
Application for Reinstatement 0000655682 2009-05-27
Change of Registered Office/Agent/Both (by Entity) 0001043913 2009-02-18
Statement of Change of Business Mailing Address 0001043921 2009-02-18

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Date of last update: 23 Sep 2024

Sources: Idaho Secretary of State