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INTEGRATIVE MEDICINE OF LEWISTON, LLC

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Company Details

Name: INTEGRATIVE MEDICINE OF LEWISTON, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 15 Aug 2011 (14 years ago)
Financial Date End: 31 Aug 2025
Entity Number: 326695
Place of Formation: IDAHO
File Number: 326695
ZIP code: 83501
County: Nez Perce County
Principal Address: 3510 12TH ST STE 200 LEWISTON, ID 83501
Mailing Address: STE 200 3510 12TH ST LEWISTON, ID 83501-5575

Agent

Name Role Address
KURT BAILEY Agent 3510 12TH ST STE 200, LEWISTON, ID 83501

Manager

Name Role Address Appointed On
Kurt Bailey Manager 3510 12TH STREET, LEWISTON, ID 83501 2020-07-09

National Provider Identifier

NPI Number:
1316226814

Authorized Person:

Name:
KURT A BAILEY
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
2087993375

Filing

Filing Name Filing Number Filing date
Annual Report 0005797399 2024-07-03
Annual Report 0005343869 2023-08-03
Annual Report 0004890184 2022-09-08
Annual Report 0004334648 2021-07-06
Annual Report 0003936501 2020-07-09

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Date of last update: 01 Jun 2025

Sources: Idaho Secretary of State