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ANESTHESIA WEST P.A.

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Company Details

Name: ANESTHESIA WEST P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 01 Jul 2003 (22 years ago)
Financial Date End: 31 Jul 2025
Entity Number: 455907
Place of Formation: IDAHO
File Number: 455907
ZIP code: 83201
County: Bannock County
Mailing Address: 2157 SATTERFIELD DR POCATELLO, ID 83201-1891

Agent

Name Role Address
CHAD FUGATE Agent 2157 SATTERFIELD, POCATELLO, ID 83201

President

Name Role Address Appointed On
Chris C Fugate President 2157 SATTERFIELD DRIVE, POCATELLO, ID 83201 2021-07-06

Secretary

Name Role Address Appointed On
Chadwick C Fugate Secretary 2157 SATTERFIELD DRIVE, POCATELLO, ID 83201 2023-07-05

Treasurer

Name Role Address Appointed On
Debra J Fugate Treasurer 2157 SATTERFIELD DRIVE, POCATELLO, ID 83201 2023-07-05

National Provider Identifier

NPI Number:
1639238439

Authorized Person:

Name:
CHRIS CHAD FUGATE
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
367500000X - Certified Registered Nurse Anesthetist
Is Primary:
Yes

Contacts:

Fax:
2085252662

Filing

Filing Name Filing Number Filing date
Annual Report 0005764449 2024-06-07
Annual Report 0005304182 2023-07-05
Annual Report 0004771368 2022-06-06
Articles of Amendment 0004756323 2022-05-24
Annual Report 0004334374 2021-07-06

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Date of last update: 01 Jul 2025

Sources: Idaho Secretary of State