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IDAHO URGENT CARE

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Company Details

Name: IDAHO URGENT CARE
Jurisdiction: Idaho
Legal type: Assumed Business Name
Status: Active-Current
Date of registration: 05 May 2008 (17 years ago)
Entity Number: 373116
Place of Formation: IDAHO
File Number: 0000373116
ZIP code: 83401
County: Bonneville County
Mailing Address: 740 S WOODRUFF IDAHO FALLS, ID 83401

National Provider Identifier

NPI Number:
1649345661

Authorized Person:

Name:
MRS. CANDACE MARIE BUNNAGE
Role:
BILLING MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2085429114

Filing

Filing Name Filing Number Filing date
Amendment of Certificate of Assumed Business Name 0000875440 2015-01-09
Initial Filing 0000373116 2008-05-05

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Date of last update: 25 Sep 2024

Sources: Idaho Secretary of State