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EASTERN IDAHO REGIONAL MEDICAL CENTER INPATIENT SERVICES, LLC

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Company Details

Name: EASTERN IDAHO REGIONAL MEDICAL CENTER INPATIENT SERVICES, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 10 Oct 2012 (13 years ago)
Financial Date End: 31 Oct 2025
Entity Number: 362828
Place of Formation: IDAHO
File Number: 362828
Principal Address: ONE PARK PLAZA LEGAL DEPARTMENT NASHVILLE, TN 37203
Mailing Address: LEGAL DEPARTMENT 1 PARK PLZ NASHVILLE, TN 37203-6527

Agent

Name Role Address
C T CORPORATION SYSTEM Agent 10020 W FAIRVIEW AVE, STE 104, BOISE, ID 83704

Manager

Name Role Address Appointed On Resigned On
John M. Franck II Manager ONE PARK PLAZA, NASHVILLE, TN 37203 2023-10-20 2023-10-20
Christopher F. Wyatt Manager ONE PARK PLAZA, NASHVILLE, TN 37203 2023-10-20 2023-10-20
William B. Rutherford Manager ONE PARK PLAZA, NASHVILLE, TN 37203 2020-09-28 2023-10-20
Michael S. Cuffe Manager 2000 HEALTHPARK DRIVE, BRENTWOOD, TN 37027 2023-10-20 No data

National Provider Identifier

NPI Number:
1679818025

Authorized Person:

Name:
DAVID KANE
Role:
AUTHORIZED OFFICIAL
Phone:

Taxonomy:

Selected Taxonomy:
207RB0002X - Obesity Medicine (Internal Medicine) Physician
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Registered Agent Name/Address Change (mass change) 0006271783 2025-05-27
Annual Report 0005922577 2024-10-03
Annual Report 0005445800 2023-10-20
Annual Report 0004959840 2022-10-24
Registered Agent Name/Address Change (mass change) 0004894801 2022-09-12

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Date of last update: 03 Jun 2025

Sources: Idaho Secretary of State