| Name: | MOUNTAIN STATES FAMILY PRACTICE CLINIC, P.C. |
| Jurisdiction: | Idaho |
| Legal type: | Professional Service Corporation (D) |
| Status: | Active-Good Standing |
| Date of registration: | 20 Feb 2002 (23 years ago) |
| Financial Date End: | 28 Feb 2025 |
| Entity Number: | 434578 |
| Place of Formation: | IDAHO |
| File Number: | 434578 |
| ZIP code: | 83647 |
| County: | Elmore County |
| Mailing Address: | KAREN CROSSLEY 2170 NE BELL COUNTRY CT MOUNTAIN HOME, ID 83647-5924 |
| Name | Role | Address |
|---|---|---|
| D DAN CROSSLEY MD | Agent | 2170 BELL COUNTRY CT, MOUNTAIN HOME, ID 83647 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Dennis D Crossley | President | 2170 NE BELL COUNTRY CT., MOUNTAIN HOME, ID 83647 | 2021-01-19 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Karen M Crossley | Secretary | 2170 NE BELL COUNTRY CT., MOUNTAIN HOME, ID 83647 | 2024-01-16 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0005563760 | 2024-01-16 |
| Annual Report | 0005077211 | 2023-01-21 |
| Annual Report | 0004584170 | 2022-01-28 |
| Annual Report | 0004137655 | 2021-01-19 |
| Annual Report | 0003749705 | 2020-01-18 |
| Annual Report | 0003410520 | 2019-01-24 |
| Annual Report | 0002848289 | 2018-01-10 |
| Annual Report | 0002848287 | 2016-12-24 |
| Annual Report | 0002848285 | 2016-01-17 |
| Annual Report | 0002848283 | 2014-12-17 |
Date of last update: 19 Dec 2024
Sources: Idaho Secretary of State
