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SAINT ALPHONSUS PHYSICIANS, P.A.

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Company Details

Name: SAINT ALPHONSUS PHYSICIANS, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 26 Nov 2002 (23 years ago)
Financial Date End: 30 Nov 2012
Date dissolved: 11 Feb 2013
Entity Number: 445818
Place of Formation: IDAHO
File Number: 0000445818
ZIP code: 83706
County: Ada County
Mailing Address: 1055 N CURTIS BOISE, ID 83706

National Provider Identifier

NPI Number:
1710995170

Authorized Person:

Name:
DR. DOUGLAS M HILL
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician
Is Primary:
Yes

Contacts:

Fax:
2083677667

Filing

Filing Name Filing Number Filing date
Annual Report 0002889188 2011-12-05
Change of Registered Office/Agent/Both (by Entity) 0002889189 2010-09-16
Annual Report 0002889187 2010-09-13
Annual Report 0002889186 2009-11-02
Annual Report 0002889185 2008-12-04

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Date of last update: 26 Sep 2024

Sources: Idaho Secretary of State