Mountain States Institute for Graduate Medical Education and Research, Inc.
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| Name: | Mountain States Institute for Graduate Medical Education and Research, Inc. |
| Jurisdiction: | Idaho |
| Legal type: | Non-Profit Corporation (D) |
| Status: | Active-Good Standing |
| Date of registration: | 26 Feb 2020 (5 years ago) |
| Financial Date End: | 28 Feb 2026 |
| Entity Number: | 3789965 |
| Place of Formation: | IDAHO |
| File Number: | 700944 |
| ZIP code: | 83642 |
| County: | Ada County |
| Mailing Address: | 1401 E CENTRAL DR MERIDIAN, ID 83642-8046 |
| Name | Role | Address |
|---|---|---|
| NATIONAL REGISTERED AGENTS, INC. | Agent | 10020 W FAIRVIEW AVE, STE 104, BOISE, ID 83704 |
| Name | Role | Address | Appointed On | Resigned On |
|---|---|---|---|---|
| Tracy Farnsworth | Director | 1401 E. CENTRAL DRIVE, MERIDIAN, ID 83642 | 2023-01-31 | 2024-02-20 |
| Mark Nassir MD, MPH, CPE | Director | 6051 W EMERALD ST, BOISE, ID 83704 | 2024-02-20 | No data |
| Larry Tisdale MBA, FACHE | Director | 1401 E. CENTRAL DRIVE, MERIDIAN, ID 83642 | 2024-02-20 | No data |
| John Fullerton JD | Director | 1401 E. CENTRAL DRIVE, MERIDIAN, ID 83642 | 2024-02-20 | No data |
| Kevin Wilson DO, FACOI, FACP | Director | 1401 E. CENTRAL DRIVE, MERIDIAN, ID 83642 | 2024-02-20 | No data |
| Tracy Farnsworth EdD, MHSA, MBA, FACHE | Director | 1401 E. CENTRAL DRIVE, MERIDIAN, ID 83642 | 2024-02-20 | No data |
| Tracy Farnsworth EdD, MHSA, | Director | 1401 E. CENTRAL DRIVE, MERIDIAN, ID 83642 | 2025-03-04 | No data |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Larry Tisdale MBA, FACHE | Treasurer | 1401 E. CENTRAL DRIVE, MERIDIAN, ID 83642 | 2024-02-20 |
| Name | Role | Address | Appointed On | Resigned On |
|---|---|---|---|---|
| Thomas Mohr | President | 1401 E. CENTRAL DRIVE, MERIDIAN, ID 83642 | 2021-03-15 | 2023-01-31 |
| Robyn Dreibelbis DO, FACOFP | President | 1401 E. CENTRAL DRIVE, MERIDIAN, ID 83642 | 2024-02-20 | No data |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Registered Agent Name/Address Change (mass change) | 0006282190 | 2025-05-27 |
| Annual Report | 0006140723 | 2025-03-04 |
| Annual Report | 0005608839 | 2024-02-20 |
| Annual Report Amendment | 0005123891 | 2023-02-23 |
| Annual Report | 0005086084 | 2023-01-31 |
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Date of last update: 07 Jul 2025
Sources: Idaho Secretary of State