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CRC Anesthesia PLLC

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Company Details

Name: CRC Anesthesia PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 05 Oct 2018 (7 years ago)
Financial Date End: 31 Oct 2023
Date dissolved: 10 Jan 2024
Entity Number: 3305898
Place of Formation: IDAHO
File Number: 638628
ZIP code: 83404
County: Bonneville County
Principal Address: MARC MURPHY 3100 CHANNING WAY IDAHO FALLS, ID 83404
Mailing Address: PO BOX 1724 IDAHO FALLS, ID 83403-1724

Agent

Name Role Address
GUARDIAN REGISTERED AGENTS LLC Agent 955 PIER VIEW DR, IDAHO FALLS, ID 83402

Manager

Name Role Address Appointed On
Marc Murphy Manager PO BOX 1724, IDAHO FALLS, ID 83403 2020-10-31

National Provider Identifier

NPI Number:
1326514407

Authorized Person:

Name:
JEFF TAYLOR
Role:
PARTNER
Phone:

Taxonomy:

Selected Taxonomy:
207L00000X - Anesthesiology Physician
Is Primary:
No
Selected Taxonomy:
367500000X - Certified Registered Nurse Anesthetist
Is Primary:
Yes

Contacts:

Fax:
2085238978

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0005554866 2024-01-10
Annual Report 0004955631 2022-10-18
Annual Report 0004473831 2021-10-31
Annual Report 0004045664 2020-10-31
Annual Report 0003658554 2019-10-31

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Date of last update: 06 Jul 2025

Sources: Idaho Secretary of State