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IDAHO FALLS ASC, LLC

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Company Details

Name: IDAHO FALLS ASC, LLC
Jurisdiction: Idaho
Legal type: Foreign Limited Liability Company
Status: Active-Existing
Date of registration: 21 Jun 2017 (8 years ago)
Financial Date End: 30 Jun 2026
Entity Number: 558143
Place of Formation: DELAWARE
File Number: 558143
ZIP code: 83404
County: Bonneville County
Principal Address: 2200 POST OAK BLVD STE 1525 HOUSTON, TX 77056
Mailing Address: 2325 CORONADO ST IDAHO FALLS, ID 83404-7407

Agent

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

Manager

Name Role Address Appointed On Resigned On
CHAD EVANS Manager 2325 CORONADO ST, IDAHO FALLS, ID 83404-7407 2024-06-12 2024-06-12
JAMES ADAMSON Manager 2325 CORONADO ST, IDAHO FALLS, ID 83404-7407 2021-06-25 No data
NED HILLYARD Manager 2325 CORONADO ST, IDAHO FALLS, ID 83404-7407 2024-06-12 2024-06-12

National Provider Identifier

NPI Number:
1174005235
Certification Date:
2023-01-23

Authorized Person:

Name:
NED W HILLYARD
Role:
CCO
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2085424280

Filing

Filing Name Filing Number Filing date
Annual Report 0006254676 2025-05-13
Annual Report 0005778938 2024-06-12
Annual Report 0005253230 2023-05-30
Annual Report 0004764575 2022-06-03
Registered Agent Name/Address Change (mass change) 0004640572 2022-03-08

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Date of last update: 14 May 2025

Sources: Idaho Secretary of State