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UNIFIED HEALTHCARE OF IDAHO, LLC

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Company Details

Name: UNIFIED HEALTHCARE OF IDAHO, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 09 Feb 2015 (10 years ago)
Financial Date End: 28 Feb 2026
Entity Number: 449156
Place of Formation: IDAHO
File Number: 449156
ZIP code: 83402
County: Bonneville County
Principal Address: 2275 W BROADWAY SUITE G IDAHO FALLS, ID 83402
Mailing Address: MICHELLE TUELLER 2265 W BROADWAY IDAHO FALLS, ID 83402-2902

Manager

Name Role Address Appointed On Resigned On
THOMAS E TUELLER Manager 2265 W BROADWAY ST, IDAHO FALLS, ID 83402 2021-01-07 No data
Michelle Tueller Manager 2265 W BROADWAY ST, IDAHO FALLS, ID 83402 2024-01-04 2024-01-04

Agent

Name Role Address
Michelle Tueller Agent 2265 WEST BROADWAY STREET, IDAHO FALLS, ID 83402

National Provider Identifier

NPI Number:
1588041537

Authorized Person:

Name:
THOMAS TUELLER
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QH0100X - Health Service Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2085220088

Filing

Filing Name Filing Number Filing date
Annual Report 0006083712 2025-01-29
Annual Report 0005542022 2024-01-04
Annual Report 0005046072 2023-01-03
Annual Report 0004554395 2022-01-04
Annual Report 0004121925 2021-01-07

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Date of last update: 06 Jun 2025

Sources: Idaho Secretary of State