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SALMON MENTAL HEALTH CLINIC, P.A.

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Company Details

Name: SALMON MENTAL HEALTH CLINIC, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 15 Nov 2005 (20 years ago)
Financial Date End: 30 Nov 2015
Date dissolved: 23 Feb 2016
Entity Number: 496061
Place of Formation: IDAHO
File Number: 0000496061
ZIP code: 83467
County: Lemhi County
Mailing Address: 111 LILLIAN ST STE 101 SALMON, ID 83467

National Provider Identifier

NPI Number:
1407870900

Authorized Person:

Name:
PAMELA J BAGLIEN
Role:
CO OWNER CHAIRMAN
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
No
Selected Taxonomy:
103T00000X - Psychologist
Is Primary:
No

Contacts:

Fax:
2087561579

Filing

Filing Name Filing Number Filing date
Annual Report 0003050540 2014-12-15
Annual Report 0003050539 2013-09-23
Annual Report 0003050538 2012-10-03
Application for Reinstatement 0003050537 2011-02-17
Application for Reinstatement 0000915587 2011-02-15

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Date of last update: 26 Sep 2024

Sources: Idaho Secretary of State