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SAINT ALPHONSUS PHYSICIAN SERVICES, INC.

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Company Details

Name: SAINT ALPHONSUS PHYSICIAN SERVICES, INC.
Jurisdiction: Idaho
Legal type: Non-Profit Corporation (D)
Status: Inactive-Merged Out
Date of registration: 21 Mar 1995 (30 years ago)
Financial Date End: 31 Mar 2011
Date dissolved: 24 Feb 2010
Entity Number: 338559
Place of Formation: IDAHO
File Number: 0000338559
ZIP code: 83706
County: Ada County
Mailing Address: 1055 N. CURTIS RD. BOISE, ID 83706

National Provider Identifier

NPI Number:
1487849147

Authorized Person:

Name:
MS. JANELLE G. REILLY
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
367A00000X - Advanced Practice Midwife
Is Primary:
No
Selected Taxonomy:
207V00000X - Obstetrics & Gynecology Physician
Is Primary:
Yes

Contacts:

Fax:
2083675180
Fax:
2083674242

Filing

Filing Name Filing Number Filing date
Statement of Merger (Non-Survivor) 0000861913 2010-02-24
Change of Registered Office/Agent/Both (by Entity) 0002434613 2010-02-11
Annual Report 0002434611 2010-01-26
Change of Registered Office/Agent/Both (by Entity) 0002434612 2009-02-09
Annual Report 0002434610 2009-01-12

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Date of last update: 24 Sep 2024

Sources: Idaho Secretary of State