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IN BALANCE: INTEGRATIVE PRIMARY HEALTHCARE PLLC

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Company Details

Name: IN BALANCE: INTEGRATIVE PRIMARY HEALTHCARE PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 30 Jul 2018 (7 years ago)
Financial Date End: 31 Jul 2023
Date dissolved: 04 Oct 2023
Entity Number: 621024
Place of Formation: IDAHO
File Number: 621024
ZIP code: 83201
County: Bannock County
Principal Address: 1017 E. YOUNG STREET POCATELLO, ID 83201
Mailing Address: 1017 E YOUNG ST POCATELLO, ID 83201-5237

Agent

Name Role Address
TIM ROTH Agent 1659 RAINIER DR, POCATELLO, ID 83201

National Provider Identifier

NPI Number:
1457839730
Certification Date:
2020-04-10

Authorized Person:

Name:
KATHRYN JILL ROTH
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
2084256477

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0005426858 2023-10-04
Application for Reinstatement 0003834041 2020-04-03
Dissolution/Revocation - Administrative 0003671524 2019-11-06
Amendment to Certificate 0003530566 2019-06-03
Statement of Change of Business Mailing Address 0003530565 2019-06-03

USAspending Awards / Financial Assistance

Date:
2020-04-16
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
11700.00
Total Face Value Of Loan:
11700.00

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Date of last update: 05 Jul 2025

Sources: Idaho Secretary of State