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NORTH END CHILDREN'S HEALTH CLINIC, INC.

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Company Details

Name: NORTH END CHILDREN'S HEALTH CLINIC, INC.
Jurisdiction: Idaho
Legal type: Non-Profit Corporation (D)
Status: Inactive-Dissolved
Date of registration: 29 Sep 2005 (20 years ago)
Financial Date End: 30 Sep 2018
Date dissolved: 29 Jun 2018
Entity Number: 493825
Place of Formation: IDAHO
File Number: 0000493825
ZIP code: 83702
County: Ada County
Mailing Address: 1655 W FAIRVIEW AVE STE 206 BOISE, ID 83702

National Provider Identifier

NPI Number:
1144382797

Authorized Person:

Name:
DR. LEONA JO'ANNE' CHURCH
Role:
PRESIDENT, BOARD OF DIRECTORS
Phone:

Taxonomy:

Selected Taxonomy:
261QM0855X - Adolescent and Children Mental Health Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QH0100X - Health Service Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2083950009

Filing

Filing Name Filing Number Filing date
Articles of Dissolution 0000915013 2018-06-29
Annual Report 0003044279 2017-08-13
Annual Report 0003044277 2016-09-11
Annual Report 0003044276 2015-09-10
Annual Report 0003044275 2014-09-30

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Date of last update: 26 Sep 2024

Sources: Idaho Secretary of State