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SAINT ALPHONSUS SPECIALTY SERVICES, INC.

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Company Details

Name: SAINT ALPHONSUS SPECIALTY SERVICES, INC.
Jurisdiction: Idaho
Legal type: Non-Profit Corporation (D)
Status: Inactive-Dissolved
Date of registration: 18 Jul 2007 (18 years ago)
Financial Date End: 31 Jul 2024
Date dissolved: 01 Oct 2024
Entity Number: 527063
Place of Formation: IDAHO
File Number: 527063
ZIP code: 83706
County: Ada County
Mailing Address: STEPHANIE C WESTERMEIER 1055 N CURTIS RD BOISE, ID 83706-1309

Agent

Name Role Address
C T CORPORATION SYSTEM Agent 1555 W SHORELINE DR, STE 100, BOISE, ID 83702

President

Name Role Address Appointed On
DAVID McFADYEN President 1055 N CURTIS RD, BOISE, ID 83706 2020-07-27

Treasurer

Name Role Address Appointed On
B. LANNIE CHECKETTS Treasurer 1055 N CURTIS RD, BOISE, ID 83706 2023-07-12

Secretary

Name Role Address Appointed On
STEPHANIE C WESTERMEIER Secretary 1055 N CURTIS RD, BOISE, ID 83706 2023-07-12

National Provider Identifier

NPI Number:
1093040479

Authorized Person:

Name:
ODETTE BOLANO
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
208G00000X - Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Is Primary:
No
Selected Taxonomy:
208M00000X - Hospitalist Physician
Is Primary:
No
Selected Taxonomy:
208VP0000X - Pain Medicine Physician
Is Primary:
No
Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207RC0000X - Cardiovascular Disease Physician
Is Primary:
No

Contacts:

Fax:
2083675590

Filing

Filing Name Filing Number Filing date
Articles of Dissolution 0005913226 2024-10-01
Annual Report 0005318330 2023-07-12
Registered Agent Name/Address Change (mass change) 0004899301 2022-09-12
Annual Report 0004834110 2022-07-28
Annual Report 0004362245 2021-07-30

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Date of last update: 13 May 2025

Sources: Idaho Secretary of State