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The Idaho Clinic, PLLC

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Company Details

Name: The Idaho Clinic, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 16 Jan 2021 (5 years ago)
Financial Date End: 31 Jan 2026
Entity Number: 4136804
Place of Formation: IDAHO
File Number: 742675
ZIP code: 83704
County: Ada County
Principal Address: JARED ARMSTRONG OR BRADLEY DAINES SUITE 290 8854 W EMERALD ST BOISE, ID 83704
Mailing Address: JARED ARMSTRONG OR BRADLEY DAINES STE 290 8854 W EMERALD ST BOISE, ID 83704-4846

Agent

Name Role Address
Jared Armstrong Agent 3848 W SUGARBERRY ST, EAGLE, ID 83616

Manager

Name Role Address Appointed On Resigned On
S Bradley Daines MD Manager 1991 W AXTELL CT, BOISE, ID 83703 2022-03-21 No data
S Bradley Daines MD, PLLC Manager 1991 W AXTELL CT, BOISE, ID 83703 2021-12-05 2022-03-21
Jared Armstrong, MD Manager 3848 W SUGARBERRY ST, EAGLE, ID 83616 2023-12-04 2023-12-04

Unique Entity ID

Unique Entity ID:
EEQHUK4U7AX5
UEI Expiration Date:
2026-02-03

Business Information

Doing Business As:
THE IDAHO CLINIC: HIP AND KNEE REPLACEMENT
Activation Date:
2025-02-05
Initial Registration Date:
2025-02-03

National Provider Identifier

NPI Number:
1225629074
Certification Date:
2023-03-01

Authorized Person:

Name:
JARED ARMSTRONG
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207XS0114X - Adult Reconstructive Orthopaedic Surgery Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
861506816
Plan Year:
2023
Number Of Participants:
12
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
0
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006007526 2024-12-04
Annual Report 0005499596 2023-12-04
Annual Report 0005008201 2022-12-03
Amendment to Certificate 0004665409 2022-03-21
Annual Report 0004517416 2021-12-05

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Date of last update: 08 Jul 2025

Sources: Idaho Secretary of State