-
Home Page
›
-
Counties
›
-
Nez Perce County
›
-
83501
›
-
MHP Idaho, LLC
Company Details
| Name: |
MHP Idaho, LLC |
| Jurisdiction: |
Idaho |
| Legal type: |
Limited Liability Company (D) |
| Status: |
Active-Existing
|
| Date of registration: |
04 Jan 2021 (4 years ago)
|
| Financial Date End: |
31 Jan 2026 |
| Entity Number: |
4116170 |
| Place of Formation: |
IDAHO |
| File Number: |
740430 |
| ZIP code: |
83501
|
| County: |
Nez Perce County |
| Principal Address: |
1534 IDAHO STREET LEWISTON, ID 83501 |
| Mailing Address: |
SCOTT FARBER 1534 IDAHO STREET LEWISTON, ID 83501 |
Member
| Name |
Role |
Address |
Appointed On |
Resigned On |
|
Scott Farber
|
Member
|
4411 GRAND VIEW BOULEVARD, LOS ANGELES, NY 90066
|
2022-12-02
|
No data
|
|
Scott G Farber
|
Member
|
2464 AUSTRALIA WAY EAST, CLEARWATER, FL 33763
|
2021-12-28
|
2022-12-02
|
Agent
| Name |
Role |
Address |
|
Scott Farber
|
Agent
|
1534 IDAHO STREET, LEWISTON, ID 83501
|
Managing Member
| Name |
Role |
Address |
Appointed On |
|
Scott Farber
|
Managing Member
|
2464 AUSTRALIA WAY EAST, CLEARWATER, FL 33763
|
2025-01-03
|
National Provider Identifier
Certification Date:
2021-05-19
Authorized Person:
Role:
CHIEF CLINICAL OFFICER
Taxonomy:
Selected Taxonomy:
363L00000X - Nurse Practitioner
Selected Taxonomy:
163W00000X - Registered Nurse
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Selected Taxonomy:
261Q00000X - Clinic/Center
Contacts:
This company hasn't received any reviews.
Date of last update: 19 May 2025
Sources:
Idaho Secretary of State
