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JUNIPER SPRINGS INTERNAL MEDICINE, PC

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Company Details

Name: JUNIPER SPRINGS INTERNAL MEDICINE, PC
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved
Date of registration: 02 Oct 2003 (22 years ago)
Financial Date End: 31 Oct 2022
Date dissolved: 06 Sep 2022
Entity Number: 459623
Place of Formation: IDAHO
File Number: 459623
ZIP code: 83201
County: Bannock County
Mailing Address: STE 203 500 S 11TH AVE POCATELLO, ID 83201-4878

Agent

Name Role Address
MANDI TAYLOR Agent 500 S 11TH AVE STE 203, POCATELLO, ID 83201

President

Name Role Address Appointed On
Linda L Babbitt President 1344 DELPHIC WAY, POCATELLO, ID 83201 2020-09-03

National Provider Identifier

NPI Number:
1063513216

Authorized Person:

Name:
LINDA L. BABBITT
Role:
OWNER/PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2082366695

Filing

Filing Name Filing Number Filing date
Articles of Dissolution 0004885916 2022-09-06
Annual Report 0004412339 2021-09-09
Annual Report 0003994529 2020-09-03
Annual Report 0003635573 2019-10-01
Annual Report 0003328271 2018-10-16

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Date of last update: 01 Jul 2025

Sources: Idaho Secretary of State