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HOSPITALIST MEDICINE PHYSICIANS OF IDAHO - TCG, PLLC

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Company Details

Name: HOSPITALIST MEDICINE PHYSICIANS OF IDAHO - TCG, 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: 612997
Place of Formation: IDAHO
File Number: 612997
Principal Address: 1498 PACIFIC AVENUE STE 400 TACOMA, WA 98402
Mailing Address: STE 510 120 BRENTWOOD COMMONS WAY BRENTWOOD, TN 37027-2028

Agent

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

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 120 BRENTWOOD COMMONS WAY, BRENTWOOD, TN 37027-2028 2021-06-29

National Provider Identifier

NPI Number:
1104305648
Certification Date:
2025-03-07

Authorized Person:

Name:
LAURA FALL
Role:
MANAGER
Phone:

Taxonomy:

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

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0005788015 2024-06-25
Annual Report 0005298675 2023-07-03
Annual Report 0004786273 2022-06-17
Registered Agent Name/Address Change (mass change) 0004640885 2022-03-08
Registered Agent Name/Address Change (mass change) 0004466458 2021-10-29

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Date of last update: 15 May 2025

Sources: Idaho Secretary of State