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EAST BOISE COUNTY MEDICAL CLINIC, INC.

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Company Details

Name: EAST BOISE COUNTY MEDICAL CLINIC, INC.
Jurisdiction: Idaho
Legal type: Non-Profit Corporation (D)
Status: Inactive-Dissolved
Date of registration: 25 Oct 2011 (14 years ago)
Financial Date End: 31 Oct 2012
Date dissolved: 15 Feb 2012
Entity Number: 581633
Place of Formation: IDAHO
File Number: 0000581633
ZIP code: 83631
County: Boise County
Mailing Address: PO BOX 165 IDAHO CITY, ID 83631

National Provider Identifier

NPI Number:
1255608238

Authorized Person:

Name:
LYNDA JOANNE MARICLE-KUWAHARA
Role:
EXECUTIVE DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
2083924128

Filing

Filing Name Filing Number Filing date
Articles of Dissolution 0000934701 2012-02-15
Initial Filing 0000581633 2011-10-25

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Date of last update: 26 Sep 2024

Sources: Idaho Secretary of State