Search icon

COMMUNITY CARE POCATELLO, P.L.L.C.

Company claim

Is this your business?

Get access!

Company Details

Name: COMMUNITY CARE POCATELLO, P.L.L.C.
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved
Date of registration: 12 Sep 2011 (14 years ago)
Financial Date End: 30 Sep 2017
Date dissolved: 12 Jan 2017
Entity Number: 328889
Place of Formation: IDAHO
File Number: 0000328889
ZIP code: 83404
County: Bonneville County
Principal Address: 2725 CHANNING WAY IDAHO FALLS, ID 83404

National Provider Identifier

NPI Number:
1265714760

Authorized Person:

Name:
DEREK CAMPBELL
Role:
MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
261QU0200X - Urgent Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2082379171

Form 5500 Series

Employer Identification Number (EIN):
331049603
Plan Year:
2016
Number Of Participants:
15
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Statement of Dissolution 0000857773 2017-01-12
Annual Report 0002386711 2016-10-31
Annual Report 0002386710 2015-10-14
Application for Reinstatement 0002386709 2014-12-26
Application for Reinstatement 0000857772 2014-12-23

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 24 Sep 2024

Sources: Idaho Secretary of State