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JAMES G. SACCOMANDO, JR., M.D., P.A.

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Company Details

Name: JAMES G. SACCOMANDO, JR., M.D., P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 02 Jan 2007 (18 years ago)
Financial Date End: 31 Jan 2026
Entity Number: 517248
Place of Formation: IDAHO
File Number: 517248
Mailing Address: 3916 N POTSDAM AVE PMB 61 SIOUX FALLS, SD 57104-7048

Agent

Name Role Address
KIMBERLY F SACCOMANDO Agent 474 E ROCKINGHAM DR, EAGLE, ID 83616

President

Name Role Address Appointed On Resigned On
James Saccomando President 1423 W FRANKLIN ST, BOISE, ID 83702-5024 2020-12-03 2023-12-03
James G Saccomando Jr President PO BOX 44144, BOISE, ID 83711-0144 2023-12-03 No data

National Provider Identifier

NPI Number:
1720244700

Authorized Person:

Name:
DR. JAMES G SACCOMANDO JR.
Role:
DOCTOR
Phone:

Taxonomy:

Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Fax:
2083452282

Filing

Filing Name Filing Number Filing date
Annual Report 0006014866 2024-12-06
Statement of Change of Business Mailing Address 0005766270 2024-06-08
Annual Report 0005494491 2023-12-03
Annual Report 0005009459 2022-12-04
Annual Report 0004534601 2021-12-17

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Date of last update: 07 Jun 2025

Sources: Idaho Secretary of State