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WEST VALLEY MEDICAL GROUP SPECIALTY SERVICES LLC

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Company Details

Name: WEST VALLEY MEDICAL GROUP SPECIALTY SERVICES LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 10 Mar 2014 (11 years ago)
Financial Date End: 31 Mar 2026
Entity Number: 412953
Place of Formation: IDAHO
File Number: 412953
Principal Address: ONE PARK PLAZA NASHVILLE, TN 37203
Mailing Address: 1 PARK PLZ NASHVILLE, TN 37203-6527

Agent

Name Role Address
C T CORPORATION SYSTEM Agent 1555 W SHORELINE DR, STE 100, BOISE, ID 83702

Manager

Name Role Address Appointed On Resigned On
John M. Franck II Manager ONE PARK PLAZA, NASHVILLE, TN 37203 2021-03-16 No data
Michael S. Cuffe Manager 2000 HEALTHPARK DRIVE, BRENTWOOD, TN 37027 2024-03-05 2024-03-05
Christopher F. Wyatt Manager ONE PARK PLAZA, NASHVILLE, TN 37203 2024-03-05 2024-03-05

National Provider Identifier

NPI Number:
1245659093
Certification Date:
2023-01-02

Authorized Person:

Name:
LOUIS JOSEPH
Role:
VP
Phone:

Taxonomy:

Selected Taxonomy:
207VB0002X - Obesity Medicine (Obstetrics & Gynecology) Physician
Is Primary:
Yes

Contacts:

Fax:
8663461426
Fax:
2084541065

Filing

Filing Name Filing Number Filing date
Annual Report 0006148100 2025-03-08
Annual Report 0005634519 2024-03-05
Annual Report 0005154976 2023-03-14
Registered Agent Name/Address Change (mass change) 0004895035 2022-09-12
Annual Report 0004658802 2022-03-14

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Date of last update: 10 May 2025

Sources: Idaho Secretary of State