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BRINTON ANESTHESIA GROUP PLLC

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Company Details

Name: BRINTON ANESTHESIA GROUP PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 29 Apr 2013 (12 years ago)
Financial Date End: 30 Apr 2026
Entity Number: 382089
Place of Formation: IDAHO
File Number: 382089
ZIP code: 83642
County: Ada County
Principal Address: 1345 N LITTLE CREEK AVE MERIDIAN, ID 83642
Mailing Address: 1345 N LITTLE CREEK AVE MERIDIAN, ID 83642-4213

Agent

Name Role Address
CLARK L BRINTON Agent 1345 N LITTLE CREEK AVE, MERIDIAN, ID 83642

Manager

Name Role Address Appointed On
Clark brinton Manager 1345 N LITTLE CREEK AVE, MERIDIAN, ID 83642 2021-03-03

Member

Name Role Address Appointed On Resigned On
Shelly Brinton Member 1345 N LITTLE CREEK AVE, MERIDIAN, ID 83642 2024-03-04 2024-03-04

National Provider Identifier

NPI Number:
1225473069

Authorized Person:

Name:
KERI SMITH
Role:
BILLING SPECIALIST
Phone:

Taxonomy:

Selected Taxonomy:
367500000X - Certified Registered Nurse Anesthetist
Is Primary:
Yes

Contacts:

Fax:
2085238978

Filing

Filing Name Filing Number Filing date
Annual Report 0006142216 2025-03-04
Annual Report 0005632702 2024-03-04
Annual Report 0005139874 2023-03-06
Annual Report 0004663161 2022-03-17
Annual Report 0004192368 2021-03-03

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Date of last update: 29 Jun 2025

Sources: Idaho Secretary of State