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IDAHO BEHAVIORAL HEALTH SERVICES, LLC

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Company Details

Name: IDAHO BEHAVIORAL HEALTH SERVICES, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 23 Oct 2012 (13 years ago)
Financial Date End: 31 Oct 2025
Entity Number: 363686
Place of Formation: IDAHO
File Number: 363686
Principal Address: ONE PARK PLAZA - LEGAL DEPT. NASHVILLE, TN 37203
Mailing Address: LEGAL DEPT 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
William B. Rutherford Manager ONE PARK PLAZA, NASHVILLE, TN 37203 2020-09-28 2023-10-20
Christopher F. Wyatt Manager ONE PARK PLAZA, NASHVILLE, TN 37203 2023-10-20 2023-10-20
Michael S. Cuffe Manager 2000 HEALTHPARK DRIVE, BRENTWOOD, TN 37027 2023-10-20 No data
John M. Franck II Manager ONE PARK PLAZA, NASHVILLE, TN 37203 2023-10-20 2023-10-20

National Provider Identifier

NPI Number:
1831435163
Certification Date:
2025-03-13

Authorized Person:

Name:
JOSHUA DEBRY
Role:
VICE PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Registered Agent Name/Address Change (mass change) 0006271785 2025-05-27
Annual Report 0005922640 2024-10-03
Annual Report 0005445813 2023-10-20
Annual Report 0004959846 2022-10-24
Registered Agent Name/Address Change (mass change) 0004894803 2022-09-12

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Date of last update: 03 Jun 2025

Sources: Idaho Secretary of State