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IMHealth LLC

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Company Details

Name: IMHealth LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved
Date of registration: 12 Jul 2021 (4 years ago)
Financial Date End: 31 Jul 2022
Date dissolved: 23 Feb 2022
Entity Number: 4345685
Place of Formation: IDAHO
File Number: 772277
ZIP code: 83201
County: Bannock County
Principal Address: STACY HUMPHERYS STE 202 1000 N CURTIS ROAD POCATELLO, ID 83201
Mailing Address: STACY HUMPHERYS STE 202 1000 CURTIS ST POCATELLO, ID 83201

Agent

Name Role Address
Stacy Humpherys Agent 333 W CEDAR ST, STE 3, POCATELLO, ID 83201

Member

Name Role Address Appointed On
Carey Crill Member 1000 N CURTIS RD, BOISE, ID 83706 2021-11-04
Cody Haas Member 5440 W FRANKLIN RD, BOISE, ID 83705 2021-07-13

National Provider Identifier

NPI Number:
1114599321
Certification Date:
2021-07-15

Authorized Person:

Name:
KRISTA BATTS
Role:
BILLING MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
No
Selected Taxonomy:
163WP0808X - Psychiatric/Mental Health Registered Nurse
Is Primary:
No
Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
Yes

Contacts:

Fax:
2086484167

Filing

Filing Name Filing Number Filing date
Statement of Dissolution 0004621187 2022-02-23
Amendment to Certificate 0004459621 2021-11-04
Amendment to Certificate 0004365767 2021-08-03
Amendment to Certificate 0004346052 2021-07-13
Initial Filing 0004345685 2021-07-12

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Date of last update: 16 Jun 2025

Sources: Idaho Secretary of State