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Rocky Mountain Womens Clinic LLC

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Company Details

Name: Rocky Mountain Womens Clinic LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 30 Jun 2020 (5 years ago)
Financial Date End: 30 Jun 2026
Entity Number: 3918609
Place of Formation: IDAHO
File Number: 715591
ZIP code: 83404
County: Bonneville County
Principal Address: KYLEE D JOHNSON 5115 ADOBE IDAHO FALLS, ID 83404
Mailing Address: KYLEE D JOHNSON 5115 ADOBE DR IDAHO FALLS, ID 83404-1205

Member

Name Role Address Appointed On
Kylee D Johnson Member 5115 ADOBE, IDAHO FALLS, ID 83404 2020-07-10

Agent

Name Role Address
Kylee Johnson Agent 2065 E 17TH ST, IDAHO FALLS, ID 83404-8042

National Provider Identifier

NPI Number:
1104436195
Certification Date:
2020-11-02

Authorized Person:

Name:
KYLEE JOHNSON
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363LW0102X - Women's Health Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
176B00000X - Midwife
Is Primary:
Yes

Contacts:

Fax:
2084970873

Filing

Filing Name Filing Number Filing date
Annual Report 0006231768 2025-05-04
Change of Registered Office/Agent/Both (by Entity) 0006187285 2025-04-14
Annual Report 0005719393 2024-05-03
Annual Report 0005218960 2023-05-03
Annual Report 0004723688 2022-05-03

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Date of last update: 14 Jun 2025

Sources: Idaho Secretary of State