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Ten Mile Surgery Center, LLC

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Company Details

Name: Ten Mile Surgery Center, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 13 Nov 2019 (6 years ago)
Financial Date End: 30 Nov 2025
Entity Number: 3675897
Place of Formation: IDAHO
File Number: 687479
ZIP code: 83642
County: Ada County
Principal Address: STE 120 875 S VANGUARD WAY MERIDIAN, ID 83642-7552
Mailing Address: GENERAL COUNSEL 1055 N. CURTIS RD IDAHO, ID 83706

Member

Name Role Address Appointed On Resigned On
BVA SM Group, LLC Member 36 SOUTH STATE STREET, SUITE 2200, SALT LAKE CITY, UT 84111 2020-11-17 2023-11-30
Saint Alphonsus Diversified Care, Inc. Member 1055 N. CURTIS RD., BOISE, ID 83706 2024-11-04 No data

Manager

Name Role Address Appointed On Resigned On
BVA SM Group, LLC Manager 36 SOUTH STATE STREET, SUITE 2200, SALT LAKE CITY, UT 84111 2020-12-02 2020-12-10
Intermountain Healthcare Manager 36 SOUTH STATE STREET, SUITE 2200, SALT LAKE CITY, UT 84111 2020-11-12 2020-11-17

Agent

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

Central Index Key

A CIK (Central Index Key) number is a unique identifier assigned by the U.S. Securities and Exchange Commission (SEC) to companies that: Are publicly traded on U.S. stock exchanges, File reports with the SEC.

Note: Having a CIK number indicates that: The company is registered with the SEC, Files regular financial reports (like 10-K, 10-Q), Must comply with federal securities laws and regulations, Has public shareholders, Makes financial information publicly available through SEC's EDGAR database.

CIK number:
0002037575
Phone:
208-463-3000

Latest Filings

Form type:
D
File number:
021-539266
Filing date:
2025-02-26
File:
Form type:
D
File number:
021-524326
Filing date:
2024-09-18
File:

National Provider Identifier

NPI Number:
1689260341
Certification Date:
2025-05-14

Authorized Person:

Name:
JENNIFER BLOXHAM
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2083027999

Filing

Filing Name Filing Number Filing date
Registered Agent Name/Address Change (mass change) 0006273083 2025-05-27
Annual Report 0005961560 2024-11-04
Change of Registered Office/Agent/Both (by Entity) 0005933155 2024-10-09
Amendment to Certificate 0005758888 2024-06-04
Annual Report 0005491521 2023-11-30

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Date of last update: 07 Jul 2025

Sources: Idaho Secretary of State