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FRESENIUS MEDICAL CARE IDAHO FALLS, LLC

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Company Details

Name: FRESENIUS MEDICAL CARE IDAHO FALLS, LLC
Jurisdiction: Idaho
Legal type: Foreign Limited Liability Company
Status: Active-Existing
Date of registration: 20 Jul 2017 (8 years ago)
Financial Date End: 31 Jul 2025
Entity Number: 562272
Place of Formation: DELAWARE
File Number: 562272
Principal Address: 920 WINTER ST WALTHAM, MA 2451
Mailing Address: 920 WINTER ST WALTHAM, MA 02451

Agent

Name Role Address
C T CORPORATION SYSTEM Agent 1555 W SHORELINE DR, STE 100, BOISE, ID 83702

Member

Name Role Address Appointed On
Inland Northwest Renal Care Group, LLC Member 920 WINTER ST, WALTHAM, MA 02451 2021-07-02

National Provider Identifier

NPI Number:
1295352391
Certification Date:
2023-10-20

Authorized Person:

Name:
BARRY L. BLANTON
Role:
VICE PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QE0700X - End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2082422329

Filing

Filing Name Filing Number Filing date
Annual Report 0005779446 2024-06-12
Annual Report 0005273819 2023-06-09
Registered Agent Name/Address Change (mass change) 0004895712 2022-09-12
Annual Report 0004776190 2022-06-08
Annual Report 0004330018 2021-07-02

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Date of last update: 14 May 2025

Sources: Idaho Secretary of State