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Trailhead Medical Group LLC

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Company Details

Name: Trailhead Medical Group LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 15 Oct 2021 (4 years ago)
Financial Date End: 31 Oct 2025
Entity Number: 4447433
Place of Formation: IDAHO
File Number: 786522
ZIP code: 83642
County: Ada County
Principal Address: 2269 E GRAYSON ST MERIDIAN, ID 83642
Mailing Address: 2269 E GRAYSON ST MERIDIAN, ID 83642-5348

Agent

Name Role Address
Chase Christoffersen Agent 2269 E GRAYSON ST, MERIDIAN, ID 83642

Manager

Name Role Address Appointed On
Chase Christoffersen Manager 2269 E GRAYSON ST, MERIDIAN, ID 83642 2022-09-06

National Provider Identifier

NPI Number:
1457015422
Certification Date:
2023-01-30

Authorized Person:

Name:
CHASE C CHRISTOFFERSEN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
332BC3200X - Customized Equipment (DME)
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0005955016 2024-10-31
Annual Report 0005466166 2023-11-06
Annual Report 0004885642 2022-09-06
Initial Filing 0004447433 2021-10-15

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Date of last update: 09 Jul 2025

Sources: Idaho Secretary of State