Search icon

PEDIATRIC AND ADOLESCENT CENTER, INC. (THE)

Company claim

Is this your business?

Get access!

Company Details

Name: PEDIATRIC AND ADOLESCENT CENTER, INC. (THE)
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 23 Jun 2005 (20 years ago)
Financial Date End: 30 Jun 2019
Date dissolved: 03 Oct 2019
Entity Number: 489275
Place of Formation: IDAHO
File Number: 489275
ZIP code: 83713
County: Ada County
Mailing Address: 6148 N DISCOVERY WAY SUITE 100 BOISE, ID 83713

Agent

Name Role Address
DR WILLIAM BOURQUARD Agent 6148 N DISCOVERY WAY, SUITE 100, BOISE, ID 83713

National Provider Identifier

NPI Number:
1144341637

Authorized Person:

Name:
WILLIAM SULLIVAN BOURQUARD
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
173000000X - Legal Medicine
Is Primary:
Yes

Contacts:

Fax:
2083226013

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0003640357 2019-10-03
Annual Report 0003031410 2018-04-24
Annual Report 0003031408 2017-05-02
Annual Report 0003031406 2016-04-26
Annual Report 0003031405 2015-04-17

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 02 Jul 2025

Sources: Idaho Secretary of State