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HOSPITALIST MEDICINE PHYSICIANS OF IDAHO - NAMPA, PLLC

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Company Details

Name: HOSPITALIST MEDICINE PHYSICIANS OF IDAHO - NAMPA, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 07 Jun 2018 (7 years ago)
Financial Date End: 30 Jun 2025
Entity Number: 612980
Place of Formation: IDAHO
File Number: 612980
Principal Address: 1498 PACIFIC AVENUE SUITE 400 TACOMA, WA 98402
Mailing Address: STE 510 120 BRENTWOOD COMMONS WAY BRENTWOOD, TN 37027-2028

Member

Name Role Address Appointed On
John Birkmeyer Member 120 BRENTWOOD COMMONS WAY, STE 510, BRENTWOOD, TN 37027 2024-06-25
Robert A. Bessler Member 5410 MARYLAND WAY, BRENTWOOD, TN 37027 2021-06-29

Agent

Name Role Address
CORPORATION SERVICE COMPANY Agent 1305 12TH AVE RD, NAMPA, ID 83686

National Provider Identifier

NPI Number:
1558995316
Certification Date:
2025-03-07

Authorized Person:

Name:
LAURA FALL
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207P00000X - Emergency Medicine Physician
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0005788012 2024-06-25
Annual Report 0005298672 2023-07-03
Annual Report 0004786269 2022-06-17
Registered Agent Name/Address Change (mass change) 0004640883 2022-03-08
Registered Agent Name/Address Change (mass change) 0004466456 2021-10-29

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Date of last update: 15 May 2025

Sources: Idaho Secretary of State