Search icon

Western Skies Wellness and Primary Care P.C.

Company claim

Is this your business?

Get access!

Company Details

Name: Western Skies Wellness and Primary Care P.C.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 21 Apr 2025 (3 months ago)
Financial Date End: 30 Apr 2026
Entity Number: 6213752
Place of Formation: IDAHO
File Number: 989826
ZIP code: 83612
County: Adams County
Mailing Address: ROSS AYLETT 119 ILLINOIS AVE COUNCIL, ID 83612

Agent

Name Role Address
VF Registered Agent LLC Agent 660 E FRANKLIN ROAD, STE 220, MERIDIAN, ID 83642

National Provider Identifier

NPI Number:
1568255636
Certification Date:
2025-05-22

Authorized Person:

Name:
JODI HANEY
Role:
CREDENTIALING/CONTRACTING
Phone:

Taxonomy:

Selected Taxonomy:
363LG0600X - Gerontology Nurse Practitioner
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Initial Filing 0006213752 2025-04-21

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 22 Jun 2025

Sources: Idaho Secretary of State