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STAR MEDICAL CENTER, P.C.

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Company Details

Name: STAR MEDICAL CENTER, P.C.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 23 Dec 2004 (21 years ago)
Financial Date End: 31 Dec 2017
Date dissolved: 27 Mar 2018
Entity Number: 479647
Place of Formation: IDAHO
File Number: 0000479647
ZIP code: 83669
County: Ada County
Mailing Address: 9858 W STATE ST STAR, ID 83669

National Provider Identifier

NPI Number:
1508918244

Authorized Person:

Name:
ELMER G DODGE JR.
Role:
PRESIDENT OWNER
Phone:

Taxonomy:

Selected Taxonomy:
163WG0000X - General Practice Registered Nurse
Is Primary:
Yes

Contacts:

Fax:
2082860565

Filing

Filing Name Filing Number Filing date
Annual Report 0003002250 2017-01-20
Annual Report 0003002248 2015-10-14
Annual Report 0003002247 2014-11-03
Annual Report 0003002246 2014-01-14
Annual Report 0003002245 2012-11-14

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Date of last update: 26 Sep 2024

Sources: Idaho Secretary of State