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West Idaho iMedCare PLLC

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Company Details

Name: West Idaho iMedCare PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 13 Feb 2025 (4 months ago)
Financial Date End: 28 Feb 2026
Entity Number: 6108745
Place of Formation: IDAHO
File Number: 978199
ZIP code: 83607
County: Canyon County
Principal Address: 22872 AURA VISTA WAY CALDWELL, ID 83607
Mailing Address: PO BOX 188 CALDWELL, ID 83606-0188

Agent

Name Role Address
Nathanael Carson Hogg Agent 22872 AURA VISTA WAY, CALDWELL, ID 83607-5593

National Provider Identifier

NPI Number:
1205634607
Certification Date:
2025-03-04

Authorized Person:

Name:
DR. NATHANAEL HOGG
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Statement of Change of Business Mailing Address 0006137737 2025-03-03
Initial Filing 0006108745 2025-02-13

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Date of last update: 24 May 2025

Sources: Idaho Secretary of State