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LOCUST GROVE WOMEN'S HEALTH, P.L.L.C.

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Company Details

Name: LOCUST GROVE WOMEN'S HEALTH, P.L.L.C.
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 10 Sep 2013 (12 years ago)
Financial Date End: 30 Sep 2019
Date dissolved: 27 Dec 2019
Entity Number: 394790
Place of Formation: IDAHO
File Number: 394790
ZIP code: 83713
County: Ada County
Principal Address: 13390 W BLUEBELL DR BOISE, ID 83713

Agent

Name Role Address
JOHN S FOX MD Agent 13390 W BLUEBELL DR, BOISE, ID 83713

National Provider Identifier

NPI Number:
1952845075

Authorized Person:

Name:
KATHLEEN LEWIS
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207V00000X - Obstetrics & Gynecology Physician
Is Primary:
Yes

Contacts:

Fax:
2084455899

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0003716754 2019-12-27
Annual Report 0002693212 2018-08-03
Annual Report 0002693211 2017-07-25
Annual Report 0002693210 2016-07-25
Annual Report 0002693209 2015-07-24

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Date of last update: 30 Jun 2025

Sources: Idaho Secretary of State