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IDAHO PHYSICIAN SERVICES, INC.

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Company Details

Name: IDAHO PHYSICIAN SERVICES, INC.
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Active-Good Standing
Date of registration: 23 Sep 2005 (20 years ago)
Financial Date End: 30 Sep 2025
Entity Number: 493323
Place of Formation: IDAHO
File Number: 493323
Mailing Address: 1 PARK PLZ NASHVILLE, TN 37203-6527

Agent

Name Role Address
C T CORPORATION SYSTEM Agent 10020 W FAIRVIEW AVE, STE 104, BOISE, ID 83704

Secretary

Name Role Address Appointed On
Natalie H. Cline Secretary ONE PARK PLAZA, NASHVILLE, TN 37203 2023-08-05

Vice President

Name Role Address Appointed On
Natalie H. Cline Vice President ONE PARK PLAZA, NASHVILLE, TN 37203 2023-08-05

Director

Name Role Address Appointed On Resigned On
Christopher F. Wyatt Director ONE PARK PLAZA, NASHVILLE, TN 37203 2023-08-05 No data
John M. Franck II Director ONE PARK PLAZA, NASHVILLE, TN 37203 2023-08-05 No data
Michael S. Cuffe Director 2000 HEALTHPARK DRIVE, BRENTWOOD, TN 37027 2023-08-05 No data
William B. Rutherford Director ONE PARK PLAZA, NASHVILLE, TN 37203 2020-08-18 2023-08-05

Treasurer

Name Role Address Appointed On
John M. Hackett Treasurer ONE PARK PLAZA, NASHVILLE, TN 37203 2023-08-05

President

Name Role Address Appointed On
Michael S. Cuffe President 2000 HEALTHPARK DRIVE, BRENTWOOD, TN 37027 2023-08-05

National Provider Identifier

NPI Number:
1902841893
Certification Date:
2023-01-02

Authorized Person:

Name:
LOUIS JOSEPH
Role:
VP
Phone:

Taxonomy:

Selected Taxonomy:
2084N0400X - Neurology Physician
Is Primary:
No
Selected Taxonomy:
207X00000X - Orthopaedic Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
8663461426
Fax:
2085354520

Filing

Filing Name Filing Number Filing date
Registered Agent Name/Address Change (mass change) 0006276609 2025-05-27
Annual Report 0005859609 2024-08-13
Annual Report 0005353705 2023-08-05
Registered Agent Name/Address Change (mass change) 0004899117 2022-09-12
Annual Report 0004863404 2022-08-17

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Date of last update: 02 Jul 2025

Sources: Idaho Secretary of State