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PHYSICIANS MENTAL HEALTH SERVICES INC

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Company Details

Name: PHYSICIANS MENTAL HEALTH SERVICES INC
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Inactive-Dissolved
Date of registration: 09 Jan 2013 (13 years ago)
Financial Date End: 31 Jan 2019
Date dissolved: 05 Jan 2018
Entity Number: 594621
Place of Formation: IDAHO
File Number: 0000594621
ZIP code: 83201
County: Bannock County
Mailing Address: 495 YELLOWSTONE AVE POCATELLO, ID 83201

National Provider Identifier

NPI Number:
1194063750

Authorized Person:

Name:
MR. MATTHEW ANDERSEN
Role:
DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
Yes

Contacts:

Fax:
2082320031
Fax:
2084781515

Filing

Filing Name Filing Number Filing date
Articles of Dissolution 0000936473 2018-01-05
Annual Report 0003261815 2017-11-30
Annual Report 0003261814 2016-11-28
Annual Report 0003261813 2015-11-23
Annual Report 0003261812 2014-12-10

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Date of last update: 26 Sep 2024

Sources: Idaho Secretary of State