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SOUTHERN IDAHO HEALTH PARTNERS LLC

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Company Details

Name: SOUTHERN IDAHO HEALTH PARTNERS LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 24 Jul 2014 (11 years ago)
Financial Date End: 31 Jul 2025
Entity Number: 428047
Place of Formation: IDAHO
File Number: 428047
ZIP code: 83686
County: Canyon County
Principal Address: 215 E HAWAII AVE NAMPA, ID 83686-6011
Mailing Address: STE 2200 36 S STATE ST SALT LAKE CITY, UT 84111-1470

Agent

Name Role Address
CORPORATION SERVICE COMPANY Agent 1305 12TH AVE RD, NAMPA, ID 83686

Manager

Name Role Address Appointed On Resigned On
JOHN KAISER Manager 215 HAWAII AVE, NAMPA, ID 83686 2020-07-29 2023-07-31
SUSAN M ROBEL Manager 36 SOUTH STATE STREET, SUITE 2200 LEGAL, SALT LAKE CITY, UT 84111 2023-07-31 No data

Member

Name Role Address Appointed On
SALTZER MEDICAL GROUP, INC. Member 215 HAWAII AVENUE, NAMPA, ID 83686 2023-07-31

National Provider Identifier

NPI Number:
1952701401
Certification Date:
2021-07-20

Authorized Person:

Name:
GINA NEAL
Role:
CREDENTIALING
Phone:

Taxonomy:

Selected Taxonomy:
208D00000X - General Practice Physician
Is Primary:
Yes

Contacts:

Fax:
2084633044

Filing

Filing Name Filing Number Filing date
Annual Report 0005834574 2024-07-31
Annual Report 0005335838 2023-07-31
Annual Report 0004835477 2022-07-31
Registered Agent Name/Address Change (mass change) 0004639907 2022-03-08
Registered Agent Name/Address Change (mass change) 0004465485 2021-10-29

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Date of last update: 10 May 2025

Sources: Idaho Secretary of State