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PORTNEUF ASC, LLC

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Company Details

Name: PORTNEUF ASC, LLC
Jurisdiction: Idaho
Legal type: Foreign Limited Liability Company
Status: Active-Existing
Date of registration: 02 Aug 2017 (8 years ago)
Financial Date End: 31 Aug 2025
Entity Number: 564090
Place of Formation: DELAWARE
File Number: 564090
Principal Address: ONE BURTON HILLS BOULEVARD SUITE 250 NASHVILLE, TN 37215
Mailing Address: STE 250 1 BURTON HILLS BLVD NASHVILLE, TN 37215-6195

Agent

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

Member

Name Role Address Appointed On Resigned On
Pocatello Health System, LLC Member 1 BURTON HILLS BLVD, NASHVILLE, TN 37241 2022-08-18 No data
STEPHEN C. PETROVICH Member 1 BURTON HILLS BLVD, NASHVILLE, TN 37215-6195 2020-07-28 2022-08-18

National Provider Identifier

NPI Number:
1871016071

Authorized Person:

Name:
STEPHEN C PETROVICH
Role:
EVP
Phone:

Taxonomy:

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

Contacts:

Fax:
6152966227
Fax:
2082326618

Filing

Filing Name Filing Number Filing date
Annual Report 0005827787 2024-07-24
Annual Report 0005317130 2023-07-11
Annual Report 0004864657 2022-08-18
Registered Agent Name/Address Change (mass change) 0004640608 2022-03-08
Registered Agent Name/Address Change (mass change) 0004466183 2021-10-29

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Date of last update: 14 May 2025

Sources: Idaho Secretary of State