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SISC Anesthesia Inc

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Company Details

Name: SISC Anesthesia Inc
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Active-Good Standing
Date of registration: 24 Apr 2019 (6 years ago)
Financial Date End: 30 Apr 2026
Entity Number: 3492066
Place of Formation: IDAHO
File Number: 663728
ZIP code: 83646
County: Ada County
Mailing Address: STE 100 3235 N TOWERBRIDGE WAY MERIDIAN, ID 83646-5721

Agent

Name Role Address
Joel E Whitt Agent 3235 N TOWERBRIDGE WAY STE 100, MERIDIAN, ID 83646

Director

Name Role Address Appointed On Resigned On
Marlon Michel Director 3235 N TOWERBRIDGE WAY, MERIDIAN, ID 83646 2021-03-03 2022-03-03

President

Name Role Address Appointed On
Joel Whitt President 4844 GOLDEN SPUR DR, NAMPA, ID 83687 2022-03-03

National Provider Identifier

NPI Number:
1013571801

Authorized Person:

Name:
JEANETT PONCE
Role:
BILLING
Phone:

Taxonomy:

Selected Taxonomy:
367500000X - Certified Registered Nurse Anesthetist
Is Primary:
Yes

Contacts:

Fax:
2088951908

Filing

Filing Name Filing Number Filing date
Annual Report 0006138618 2025-03-03
Annual Report 0005659431 2024-03-26
Annual Report 0005195021 2023-04-11
Annual Report 0004630910 2022-03-03
Annual Report 0004191842 2021-03-03

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Date of last update: 06 Jul 2025

Sources: Idaho Secretary of State