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Alpowa Healthcare, Inc.

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Company Details

Name: Alpowa Healthcare, Inc.
Jurisdiction: Idaho
Legal type: Foreign Business Corporation
Status: Active-Good Standing
Date of registration: 08 Jun 2021 (4 years ago)
Financial Date End: 30 Jun 2026
Entity Number: 4310234
Place of Formation: NEVADA
File Number: 767302
ZIP code: 83616
County: Ada County
Principal Address: SUITE 150 1675 E. RIVERSIDE DRIVE EAGLE, ID 83616
Mailing Address: CORP LEGAL STE 150 1675 E RIVERSIDE DR EAGLE, ID 83616-7584

Agent

Name Role Address
UNIVERSAL REGISTERED AGENTS, INC. Agent 10020 W FAIRVIEW AVE, STE 104, BOISE, ID 83704

Treasurer

Name Role Address Appointed On
Michael Magette Treasurer 1675 E RIVERSIDE DR, EAGLE, ID 83616-7584 2024-06-26

Secretary

Name Role Address Appointed On
Amber Tueller Secretary 1675 E RIVERSIDE DR, EAGLE, ID 83616-7584 2024-06-26

President

Name Role Address Appointed On Resigned On
Brian Wayment President 1675 E RIVERSIDE DR, EAGLE, ID 83616-7584 2022-06-09 2024-06-26
John Gochnour President 1675 E RIVERSIDE DR, EAGLE, ID 83616-7584 2024-06-26 No data

Director

Name Role Address Appointed On
Brent Guerisoli Director 1675 E RIVERSIDE DR, EAGLE, ID 83616-7584 2024-06-26

National Provider Identifier

NPI Number:
1134899719
Certification Date:
2025-05-27

Authorized Person:

Name:
AMBER L TUELLER
Role:
SECRETARY
Phone:

Taxonomy:

Selected Taxonomy:
251G00000X - Community Based Hospice Care Agency
Is Primary:
No
Selected Taxonomy:
261QM1300X - Multi-Specialty Clinic/Center
Is Primary:
No
Selected Taxonomy:
251E00000X - Home Health Agency
Is Primary:
Yes

Contacts:

Fax:
5097583413

Filing

Filing Name Filing Number Filing date
Registered Agent Name/Address Change (mass change) 0006288317 2025-05-29
Annual Report 0006262363 2025-05-21
Annual Report 0005789520 2024-06-26
Annual Report 0005248491 2023-05-22
Registered Agent Name/Address Change (mass change) 0004904549 2022-09-12

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Date of last update: 08 Jul 2025

Sources: Idaho Secretary of State