| Name: | SOUTHERN IDAHO PAIN INSTITUTE, P.C. |
| Jurisdiction: | Idaho |
| Legal type: | Professional Service Corporation (D) |
| Status: | Active-Good Standing |
| Date of registration: | 29 Nov 1996 (28 years ago) |
| Financial Date End: | 30 Nov 2025 |
| Entity Number: | 360429 |
| Place of Formation: | IDAHO |
| File Number: | 360429 |
| ZIP code: | 83301 |
| County: | Twin Falls County |
| Mailing Address: | 248 WOODRIDGE DR TWIN FALLS, ID 83301 |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DLRAHKM6N719 | 2023-03-25 | 176 FALLS AVE, TWIN FALLS, ID, 83301, 2306, USA | 176 FALLS AVE, TWIN FALLS, ID, 83301, USA | |||||||||||||||||||||||||||||||||||||||||||||
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| Division Name | SOUTHERN IDAHO PAIN INSTITUTE PC |
| Division Number | SOUTHERN I |
| Congressional District | 02 |
| State/Country of Incorporation | ID, USA |
| Activation Date | 2022-03-02 |
| Initial Registration Date | 2021-10-14 |
| Entity Start Date | 1996-11-27 |
| Fiscal Year End Close Date | Dec 31 |
Service Classifications
| NAICS Codes | 621111 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | DENISE RUE |
| Role | ADMINISTRATOR |
| Address | 176 FALLS AVE, TWIN FALLS, ID, 83301, 2306, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | DENISE RUE |
| Role | ADMINISTRATOR |
| Address | 176 FALLS AVE, TWIN FALLS, ID, 83301, 2306, USA |
| Past Performance | Information not Available |
|---|
| Name | Role | Address |
|---|---|---|
| JULIA POLLOW | Agent | 1150 EASTLAND DR. NORTH, TWIN FALLS, ID 83301 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Clinton L Dille | President | 176 FALLS AVE, TWIN FALLS, ID 83301 | 2020-12-02 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0005962920 | 2024-11-04 |
| Annual Report | 0005491090 | 2023-11-30 |
| Annual Report | 0004987317 | 2022-11-08 |
| Annual Report | 0004444267 | 2021-10-12 |
| Annual Report | 0004081711 | 2020-12-02 |
| Annual Report | 0003634264 | 2019-10-01 |
| Annual Report | 0003350911 | 2018-11-19 |
| Annual Report | 0002540815 | 2017-09-25 |
| Annual Report | 0002540812 | 2016-09-30 |
| Annual Report | 0002540810 | 2015-09-22 |
Date of last update: 14 Dec 2024
Sources: Idaho Secretary of State
