| Name: | Riverside Primary Care Adult and Geriatric Medicine, PLLLP |
| Jurisdiction: | Idaho |
| Legal type: | Limited Partnership (D) |
| Status: | Active-Current |
| Date of registration: | 26 May 2023 (2 years ago) |
| Financial Date End: | 31 May 2025 |
| Entity Number: | 5252203 |
| Place of Formation: | IDAHO |
| File Number: | 881181 |
| ZIP code: | 83702 |
| County: | Ada County |
| Principal Address: | RIVERSIDE PRIMARY CARE 1673 W SHORELINE DRIVE, SUITE 100 BOISE, ID 83702 |
| Mailing Address: | RIVERSIDE PRIMARY CARE STE 100 1673 W SHORELINE DR BOISE, ID 83702-6749 |
| Name | Role | Address |
|---|---|---|
| Carla D Dirmann | Agent | 2660 N 23RD STREET, BOISE, ID 83702 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Carla D Dirmann NP | Officer | 2644 N23RD STREET, BOISE, ID 83702 | 2024-04-29 |
| Jessica B Long NP | Officer | 4112 W PLUM ST, BOISE, ID 83703 | 2024-04-29 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0005706587 | 2024-04-29 |
| Initial Filing | 0005252203 | 2023-05-26 |
Date of last update: 08 Jan 2025
Sources: Idaho Secretary of State
