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INDEPENDENT PRACTICE ASSOCIATION OF IDAHO, INC.

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Company Details

Name: INDEPENDENT PRACTICE ASSOCIATION OF IDAHO, INC.
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Active-Good Standing
Date of registration: 29 Jun 2015 (10 years ago)
Financial Date End: 30 Jun 2026
Entity Number: 621300
Place of Formation: IDAHO
File Number: 621300
ZIP code: 83704
County: Ada County
Mailing Address: NANCY POWELL SUITE 156 8950 W EMERALD ST. BOISE, ID 83704

Agent

Name Role Address
Nicole R Venem Agent 8950 W EMERALD ST, STE 156, BOISE, ID 83704-8296

Director

Name Role Address Appointed On Resigned On
JOSEPH H WILLIAMS Director 2855 E MAGIC VIEW DR, MERIDIAN, ID 83642 2025-05-05 No data
RYAN S OWSLEY Director 16111 N BRINSON ST., NAMPA, ID 83687 2023-05-19 2024-05-03
John Eck Director 300 E BANNOCK ST, BOISE, ID 83712 2021-05-03 2022-05-03
Earl Sullivan Director 5514 W SCHOOL RIDGE RD, HIDDEN SPRINGS, ID 83714 2024-05-03 2024-05-03
BRANDON TAYLOR DO Director 4740 N PENNGROVE WAY, MERIDIAN, ID 83646 2024-05-03 2024-05-03
Elizabeth Swanson MD Director 1618 S MILLENNIUM WAY, MERIDIAN, ID 83642 2024-05-03 2024-05-03
Tyler Hudon MD Director 3280 E LANARK DR, MERIDIAN, ID 83642 2024-05-03 2024-05-03
Jason Ludwig DO Director 4740 N PENNGROVE WAY, MERIDIAN, ID 83642 2024-05-03 2024-05-03
Russell Griffiths MD Director 100 E IDAHO ST, BOISE, ID 83712 2024-05-03 No data
Jared Scott MD Director 1906 S VISTA AVE, BOISE, ID 83705 2024-05-03 No data

President

Name Role Address Appointed On Resigned On
RYAN S OWSLEY President 16111 N BRINSON ST., NAMPA, ID 83687 2022-05-03 2023-05-19
JOSEPH H WILLIAMS President 2855 E MAGIC VIEW DR, MERIDIAN, ID 83642 2024-05-03 No data

Secretary

Name Role Address Appointed On Resigned On
MARK S GRAJCAR DO Secretary 2640 S EAGLE RD, MERIDIAN, ID 83642 2024-05-03 2024-05-03

Vice President

Name Role Address Appointed On Resigned On
Keri Erland MD Vice President 3667 N LOCUST GROVE RD, MERIDIAN, ID 83646 2024-05-03 2024-05-03

Form 5500 Series

Employer Identification Number (EIN):
474421526
Plan Year:
2023
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
0
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006234468 2025-05-05
Annual Report 0005719524 2024-05-03
Annual Report 0005246628 2023-05-19
Annual Report 0004727270 2022-05-03
Annual Report 0004263393 2021-05-03

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Date of last update: 16 May 2025

Sources: Idaho Secretary of State