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PHYSICIANS PRIMARY CARE CENTER, INC.

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Company Details

Name: PHYSICIANS PRIMARY CARE CENTER, INC.
Jurisdiction: Idaho
Legal type: Foreign Business Corporation
Status: Inactive-Revoked (Administrative)
Date of registration: 18 Apr 1997 (28 years ago)
Financial Date End: 30 Apr 2022
Date dissolved: 09 Jul 2022
Entity Number: 365950
Place of Formation: OREGON
File Number: 365950
ZIP code: 83672
County: Washington County
Principal Address: 400 E 7TH ST FRUITLAND, ID 83672
Mailing Address: 400 E 7TH ST WEISER, ID 83672-2474

President

Name Role Address Appointed On
DAVID BRAUER, MD President 1059 SW 3RD AVE, ONTARIO, OR 97914 2021-04-16

National Provider Identifier

NPI Number:
1922291384

Authorized Person:

Name:
MR. BARRETT MORRIS
Role:
BUSINESS MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
146N00000X - Basic Emergency Medical Technician
Is Primary:
Yes

Contacts:

Fax:
2084148442

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0004812948 2022-07-09
Annual Report 0004250040 2021-04-16
Annual Report 0003810416 2020-03-10
Annual Report 0003486916 2019-04-22
Annual Report 0002566226 2018-04-13

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Date of last update: 02 Sep 2025

Sources: Idaho Secretary of State