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NORTH IDAHO PSYCHIATRY LLC

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Company Details

Name: NORTH IDAHO PSYCHIATRY LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 12 Apr 2024 (a year ago)
Financial Date End: 30 Apr 2026
Entity Number: 5691424
Place of Formation: IDAHO
File Number: 931588
ZIP code: 83854
County: Kootenai County
Principal Address: STE R 784 S. CLEARWATER LOOP POST FALLS, ID 83854
Mailing Address: STE R 784 S CLEARWATER LOOP POST FALLS, ID 83854-9599

Agent

Name Role Address
REGISTERED AGENTS INC Agent 784 S CLEARWATER LOOP STE R, POST FALLS, ID 83854

Member

Name Role Address Appointed On
David Ruffo Member 784 S. CLEARWATER LOOP STE R, POST FALLS, ID 83854 2025-03-05

National Provider Identifier

NPI Number:
1285483537
Certification Date:
2024-07-12

Authorized Person:

Name:
DARCY DEE RUFFO
Role:
OWNER/PROVIDER
Phone:

Taxonomy:

Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006144719 2025-03-05
Initial Filing 0005691424 2024-04-12

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Date of last update: 12 Jul 2025

Sources: Idaho Secretary of State