| Name: | Centennial Medical Practice P.C. |
| Jurisdiction: | Idaho |
| Legal type: | Professional Service Corporation (D) |
| Status: | Active-Good Standing |
| Date of registration: | 11 Sep 2024 (4 months ago) |
| Financial Date End: | 30 Sep 2025 |
| Entity Number: | 5897843 |
| Place of Formation: | IDAHO |
| File Number: | 954727 |
| Mailing Address: | STE 200 4770 BASELINE RD BOULDER, CO 80303-2668 |
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY | Agent | 1305 12TH AVE RD, NAMPA, ID 83686 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Initial Filing | 0005897843 | 2024-09-11 |
Date of last update: 12 Jan 2025
Sources: Idaho Secretary of State
