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POST FALLS INTERNAL MEDICINE AND PEDIATRICS, PA

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Company Details

Name: POST FALLS INTERNAL MEDICINE AND PEDIATRICS, PA
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved
Date of registration: 22 Dec 1997 (28 years ago)
Financial Date End: 31 Dec 2013
Date dissolved: 01 Nov 2013
Entity Number: 374425
Place of Formation: IDAHO
File Number: 0000374425
ZIP code: 83854
County: Kootenai County
Mailing Address: 1300 E MULLEN STE 1600 POST FALLS, ID 83854

National Provider Identifier

NPI Number:
1053387985

Authorized Person:

Name:
PAM S GREGG
Role:
BILLING CLERK
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2087733306

Filing

Filing Name Filing Number Filing date
Articles of Dissolution 0000875917 2013-11-01
Application for Reinstatement 0002604469 2012-04-02
Application for Reinstatement 0000875915 2012-03-27
Annual Report 0002604464 2010-10-25
Annual Report 0002604463 2009-10-21

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Date of last update: 25 Sep 2024

Sources: Idaho Secretary of State