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MVH PIC, LLC

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Company Details

Name: MVH PIC, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 13 Mar 2017 (8 years ago)
Financial Date End: 31 Mar 2026
Entity Number: 544131
Place of Formation: IDAHO
File Number: 544131
ZIP code: 83404
County: Bonneville County
Principal Address: 2325 CORONADO ST IDAHO FALLS, ID 83404
Mailing Address: STE 600 340 SEVEN SPRINGS WAY BRENTWOOD, TN 37027

Agent

Name Role Address
CORPORATION SERVICE COMPANY Agent 1305 12TH AVE RD, NAMPA, ID 83686

Manager

Name Role Address Appointed On Resigned On
TOM COWHEY Manager 310 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5799 2021-03-15 2023-02-17
JENNIFER BALDOCK Manager 340 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5605 2023-02-17 No data

National Provider Identifier

NPI Number:
1972035772
Certification Date:
2024-04-24

Authorized Person:

Name:
NED HILLYARD
Role:
CCO
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006139878 2025-03-04
Annual Report 0005644264 2024-03-12
Annual Report 0005118644 2023-02-17
Registered Agent Name/Address Change (mass change) 0004640493 2022-03-08
Annual Report 0004616094 2022-02-18

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Date of last update: 13 May 2025

Sources: Idaho Secretary of State