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INTERNAL MEDICINE ASSOCIATES, P.A.

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Company Details

Name: INTERNAL MEDICINE ASSOCIATES, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 18 Dec 1996 (29 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 360927
Place of Formation: IDAHO
File Number: 360927
ZIP code: 83864
County: Bonner County
Mailing Address: PO BOX 550 SANDPOINT, ID 83864-0550

Agent

Name Role Address
CHARLES CRANE MD Agent 423 N. 3RD AVE, 110, CHARLES CRANE, M.D., SANDPOINT, ID 83864

Secretary

Name Role Address Appointed On Resigned On
CHARLES CRANE Secretary PO BOX 550, SANDPOINT, ID 83864 2024-01-10 2024-01-10

Director

Name Role Address Appointed On Resigned On
Charles Crane Director PO BOX 550, SANDPOINT, ID 83864 2024-01-10 2024-01-10

President

Name Role Address Appointed On
Charles Crane President PO BOX 550, SANDPOINT, ID 83864 2021-01-08

National Provider Identifier

NPI Number:
1154361988

Authorized Person:

Name:
JUDITH CHITTICK
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2082632033

Filing

Filing Name Filing Number Filing date
Annual Report 0006021930 2024-12-12
Annual Report 0005557336 2024-01-10
Annual Report 0005071264 2023-01-16
Annual Report 0004571461 2022-01-14
Annual Report 0004126984 2021-01-08

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Date of last update: 29 Jun 2025

Sources: Idaho Secretary of State