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High Desert Heart & Vascular, PLLC

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Company Details

Name: High Desert Heart & Vascular, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 24 Jan 2023 (2 years ago)
Financial Date End: 31 Jan 2026
Entity Number: 5078993
Place of Formation: IDAHO
File Number: 860009
ZIP code: 83704
County: Ada County
Principal Address: DANIEL NOONAN, MD 8950 WEST EMERALD STREET BOISE, ID 83704
Mailing Address: DANIEL NOONAN, MD SUITE 230 3015 E GOLDSTONE DR MERIDIAN, ID 83642

Agent

Name Role Address
Daniel KP Noonan Agent 3015 E GOLDSTONE DR SUITE 230, DANIEL NOONAN, MERIDIAN, ID 83642

Member

Name Role Address Appointed On
Joshua Mozes Member 8854 WEST EMERALD STREET, BOISE, ID 83704 2024-01-11
David Hinchman Member 8854 WEST EMERALD STREET, BOISE, ID 83704 2024-01-11
Fredrick Costello Member 8854 W EMERALD ST, BOISE, ID 83704 2024-01-11

Manager

Name Role Address Appointed On
Daniel KP Noonan Manager 8854 WEST EMERALD STREET, BOISE, ID 83704 2023-02-15

National Provider Identifier

NPI Number:
1508552043
Certification Date:
2024-12-12

Authorized Person:

Name:
DARREN PRICE
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
163WC3500X - Cardiac Rehabilitation Registered Nurse
Is Primary:
No
Selected Taxonomy:
207RC0001X - Clinical Cardiac Electrophysiology Physician
Is Primary:
No
Selected Taxonomy:
207RI0011X - Interventional Cardiology Physician
Is Primary:
No
Selected Taxonomy:
207RC0000X - Cardiovascular Disease Physician
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
923461840
Plan Year:
2023
Number Of Participants:
0
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006070382 2025-01-14
Annual Report 0005559551 2024-01-11
Amendment to Certificate 0005116717 2023-02-15
Initial Filing 0005078993 2023-01-24

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Date of last update: 19 Jun 2025

Sources: Idaho Secretary of State