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Premier Surgical Center, Inc.

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Company Details

Name: Premier Surgical Center, Inc.
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Active-Good Standing
Date of registration: 05 Feb 2004 (21 years ago)
Financial Date End: 28 Feb 2026
Entity Number: 465165
Place of Formation: IDAHO
File Number: 465165
ZIP code: 83706
County: Ada County
Mailing Address: 5680 W GAGE ST BOISE, ID 83706-1326

Agent

Name Role Address
JACOB MONG, D.O. Agent 5680 W GAGE ST, BOISE, ID 83706

President

Name Role Address Appointed On Resigned On
Jacob Mong President 5680 W GAGE ST, BOISE, ID 83706 2024-05-06 No data
JOHN R SONNTAG President 5680 W GAGE ST, BOISE, ID 83706 2021-05-03 2024-05-06

National Provider Identifier

NPI Number:
1275516718

Authorized Person:

Name:
JOHN REED SONNTAG
Role:
MEDICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2083779455

Filing

Filing Name Filing Number Filing date
Annual Report 0006047225 2025-01-03
Annual Report 0005725830 2024-05-06
Restated Articles 0005385829 2023-09-01
Annual Report 0005047121 2023-01-03
Annual Report 0004725154 2022-05-03

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Date of last update: 11 May 2025

Sources: Idaho Secretary of State