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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 2026
Entity Number: 564090
Place of Formation: DELAWARE
File Number: 564090
Principal Address: ONE BURTON HILLS BOULEVARD SUITE 250 NASHVILLE, TN 37215
Mailing Address: SUITE 100 340 SEVEN SPRINGS WAY BRENTWOOD, TN 37027

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 0006356952 2025-07-14
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

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Date of last update: 12 Aug 2025

Sources: Idaho Secretary of State