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Idaho concierge Medicine Corp

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Company Details

Name: Idaho concierge Medicine Corp
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Active-Good Standing
Date of registration: 10 Jan 2020 (6 years ago)
Financial Date End: 31 Jan 2026
Entity Number: 3744031
Place of Formation: IDAHO
File Number: 694397
Mailing Address: IDAHO CONCIERGE MEDICINE 11696 W GABRIELLE CT BOISE, ID 83713-7812

Agent

Name Role Address
Sabrina Bojo Agent 4501 S. DENISON AVE, MERIDIAN, ID 83642

Member

Name Role Address Appointed On Resigned On
Sabrina Bojo Member 1576, BOISE, ID 83709 2021-01-04 2022-05-15

Manager

Name Role Address Appointed On Resigned On
Sabrina Bojo Manager 4501 S DENISON AVE, MERIDIAN, ID 83642 2022-05-15 2023-01-09

Director

Name Role Address Appointed On
Sabrina Bojo Director 4501 S DENISON AVE, MERIDIAN, ID 83642 2025-02-23

National Provider Identifier

NPI Number:
1013712330
Certification Date:
2025-04-15

Authorized Person:

Name:
SABRINA BOJO
Role:
NURSE PRACTITIONER
Phone:

Taxonomy:

Selected Taxonomy:
207QA0505X - Adult Medicine Physician
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006124989 2025-02-23
Statement of Change of Business Mailing Address 0005990261 2024-11-20
Statement of Conversion 0005904377 2024-09-26
Application for Reinstatement 0005690764 2024-05-01
Dissolution/Revocation - Administrative 0005689939 2024-04-12

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Date of last update: 07 Jul 2025

Sources: Idaho Secretary of State