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Treasure Valley Vein and Wound Center LLC

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Company Details

Name: Treasure Valley Vein and Wound Center LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 10 Nov 2023 (2 years ago)
Financial Date End: 30 Nov 2025
Entity Number: 5475970
Place of Formation: IDAHO
File Number: 907059
ZIP code: 83706
County: Ada County
Mailing Address: ASHLEY BENNETT STE 270 1070 NORTH CURTIS ROAD BOISE, ID 83706
Principal Address: ASHLEY BENNETT SUITE 270 1070 NORTH CURTIS RD BOISE, ID 83706

Agent

Name Role Address
Ashley Bennett Agent 6100 E HOOTOWL DRIVE, BOISE, ID 83716

Managing Member

Name Role Address Appointed On
Ashley Bennett Managing Member 6100 E HOOTOWL DRIVE, BOISE, ID 83716 2025-01-08

National Provider Identifier

NPI Number:
1336917913
Certification Date:
2024-05-10

Authorized Person:

Name:
ASHLEY W BENNETT
Role:
OWNER PROVIDER
Phone:

Taxonomy:

Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Amendment to Certificate 0006094437 2025-02-03
Annual Report 0006056634 2025-01-08
Initial Filing 0005475970 2023-11-10

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Date of last update: 21 May 2025

Sources: Idaho Secretary of State