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MVH PC SPECIALISTS, LLC

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Company Details

Name: MVH PC SPECIALISTS, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 19 Apr 2017 (8 years ago)
Financial Date End: 30 Apr 2026
Entity Number: 550275
Place of Formation: IDAHO
File Number: 550275
ZIP code: 83404
County: Bonneville County
Principal Address: 2325 CORONADO ST IDAHO FALLS, ID 83404-7407
Mailing Address: SUITE 600 340 SEVEN SPRINGS WAY 340 SEVEN SPRINGS WAY, TN 37027

Manager

Name Role Address Appointed On Resigned On
TOM COWHEY Manager 310 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027 2021-04-20 2023-04-18
Jennifer Baldock Manager 340 SEVEN SPRINGS WAY, 340 SEVEN SPRINGS WAY, TN 37027 2025-03-28 No data
JENNIFER BALDOCK Manager 340 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5605 2023-04-18 No data

Agent

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

National Provider Identifier

NPI Number:
1114451804

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 0006176945 2025-03-28
Application for Reinstatement 0005895762 2024-09-12
Dissolution/Revocation - Administrative 0005804939 2024-07-06
Annual Report 0005204425 2023-04-18
Annual Report 0004700587 2022-04-18

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Date of last update: 14 May 2025

Sources: Idaho Secretary of State