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Superior Medical Service, PLLC

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Company Details

Name: Superior Medical Service, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 12 Mar 2025 (3 months ago)
Financial Date End: 31 Mar 2026
Entity Number: 6157450
Place of Formation: IDAHO
File Number: 982803
ZIP code: 83687
County: Canyon County
Principal Address: 10323 COLORFUL DRIVE NAMPA, ID 83687
Mailing Address: 10323 COLORFUL DR NAMPA, ID 83687-5163

Agent

Name Role Address
Michelle Renee Rick Agent 10323 COLORFUL DR, NAMPA, ID 83687-5163

National Provider Identifier

NPI Number:
1972303089
Certification Date:
2025-03-27

Authorized Person:

Name:
MICHELLE RENEE RICK
Role:
OWNER/ NURSE PRACTITIONER
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
No
Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Initial Filing 0006157450 2025-03-12

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Date of last update: 24 May 2025

Sources: Idaho Secretary of State