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Grace Women's Health PLLC

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Company Details

Name: Grace Women's Health PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 09 Jan 2024 (2 years ago)
Financial Date End: 31 Jan 2026
Entity Number: 5551801
Place of Formation: IDAHO
File Number: 915285
ZIP code: 83641
County: Owyhee County
Principal Address: 7620 W CHARTERS RD MELBA, ID 83641
Mailing Address: 7620 W CHARTERS RD MELBA, ID 83641-5332

Agent

Name Role Address
Megan Kasper Agent 7620 W CHARTERS RD, MELBA, ID 83641

Member

Name Role Address Appointed On
Megan E Kasper Member 7620 W CHARTERS RD, MELBA, ID 83641 2024-12-22

Unique Entity ID

Unique Entity ID:
S4MMAKYXJ3J9
UEI Expiration Date:
2025-10-14

Business Information

Activation Date:
2024-10-16
Initial Registration Date:
2024-10-14

National Provider Identifier

NPI Number:
1811753718
Certification Date:
2024-02-27

Authorized Person:

Name:
MEGAN E KASPER
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207VX0000X - Obstetrics Physician
Is Primary:
Yes

Contacts:

Fax:
2085936341

Form 5500 Series

Employer Identification Number (EIN):
990824521
Plan Year:
2024
Number Of Participants:
8
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006033164 2024-12-22
Initial Filing 0005551801 2024-01-09

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Date of last update: 26 Jul 2025

Sources: Idaho Secretary of State