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East Meets West Medical Clinic LLC

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Company Details

Name: East Meets West Medical Clinic LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Merged Out
Date of registration: 10 Jun 2019 (6 years ago)
Financial Date End: 30 Jun 2023
Date dissolved: 12 Jan 2023
Entity Number: 3534268
Place of Formation: IDAHO
File Number: 669222
ZIP code: 83686
County: Canyon County
Principal Address: TYLER WATKINS 353 WEST IOWA AVE NAMPA, ID 83686
Mailing Address: TYLER WATKINS 353 W IOWA AVE NAMPA, ID 83686-2856

Agent

Name Role Address
Tyler Watkins Agent 353 WEST IOWA AVE, NAMPA, ID 83686

Manager

Name Role Address Appointed On
Tyler E Watkins Manager 3873 E RENWICK ST, MERIDIAN, ID 83642-6486 2021-10-27

National Provider Identifier

NPI Number:
1982299103
Certification Date:
2021-03-09

Authorized Person:

Name:
TYLE WATKINS
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
845003064
Plan Year:
2022
Number Of Participants:
0
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Statement of Merger (Non-Survivor) 0005063657 2023-01-12
Annual Report 0004867231 2022-08-22
Application for Reinstatement 0004461548 2021-10-27
Dissolution/Revocation - Administrative 0004415480 2021-09-12
Annual Report 0003889155 2020-06-03

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Date of last update: 13 Jun 2025

Sources: Idaho Secretary of State