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IDAHO NEUROSURGICAL CENTER, P.A.

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Company Details

Name: IDAHO NEUROSURGICAL CENTER, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 11 Jul 1997 (28 years ago)
Financial Date End: 31 Jul 2026
Entity Number: 368969
Place of Formation: IDAHO
File Number: 368969
ZIP code: 83201
County: Bannock County
Mailing Address: 1408 STONERIDGE DRIVE POCATELLO, ID 83201

Agent

Name Role Address
ROBERT L CACH MD Agent 1408 STONERIDGE DRIVE, POCATELLO, ID 83201

President

Name Role Address Appointed On
robert l cach President 1408 STONERIDGE DRIVE, POCATELLO, ID 83201 2021-07-04

National Provider Identifier

NPI Number:
1477798148

Authorized Person:

Name:
ROBERT CACH
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207T00000X - Neurological Surgery Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
841419054
Plan Year:
2023
Number Of Participants:
1
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006319516 2025-06-16
Annual Report 0005767507 2024-06-09
Annual Report 0005264419 2023-06-04
Annual Report 0004764387 2022-06-03
Annual Report 0004332014 2021-07-04

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Date of last update: 29 Jun 2025

Sources: Idaho Secretary of State