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NORTHWEST INTEGRATED HEALTH PLLC

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Company Details

Name: NORTHWEST INTEGRATED HEALTH PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 13 Jun 2018 (7 years ago)
Financial Date End: 30 Jun 2026
Entity Number: 613610
Place of Formation: IDAHO
File Number: 613610
ZIP code: 83814
County: Kootenai County
Principal Address: SUITE 102 850 W. IRONWOOD DR. COEUR D ALENE, ID 83814
Mailing Address: STE 102 850 W IRONWOOD DR COEUR D ALENE, ID 83814-4903

Agent

Name Role Address
Burk Thomas Agent 850 W IRONWOOD DR, SUITE 102, COEUR D ALENE, ID 83814

Manager

Name Role Address Appointed On Resigned On
BCT Holdings, LLC Manager 850 W. IRONWOOD DR., COEUR D ALENE, ID 83814 2021-09-28 2023-06-05
Burk Thomas Manager 850 W IRONWOOD DR, COEUR D ALENE, ID 83814 2024-06-11 2024-06-11

Member

Name Role Address Appointed On Resigned On
Christina A Fisher Member 850 W. IRONWOOD DR, COEUR D ALENE, ID 83814 2024-06-11 No data
BCT Holdings, LLC Member 850 W. IRONWOOD DR., SUITE 102, COEUR D ALENE, ID 83105-9716 2020-10-09 2021-09-28

National Provider Identifier

NPI Number:
1306487517

Authorized Person:

Name:
BURK AARON THOMAS
Role:
CHIEF OPERATIONS OFFICER
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006241589 2025-05-06
Annual Report 0005773560 2024-06-11
Amendment to Certificate 0005411062 2023-09-26
Amendment to Certificate 0005266968 2023-06-05
Annual Report 0005223601 2023-05-04

USAspending Awards / Financial Assistance

Date:
2020-05-02
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
3000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

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Date of last update: 10 Jun 2025

Sources: Idaho Secretary of State