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GRIFFIN ANESTHESIA, LLC

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Company Details

Name: GRIFFIN ANESTHESIA, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 27 Aug 2018 (7 years ago)
Financial Date End: 31 Aug 2025
Entity Number: 623927
Place of Formation: IDAHO
File Number: 623927
ZIP code: 83254
County: Bear Lake County
Principal Address: PO BOX 75 MONTPELIER, ID 83254
Mailing Address: 930 BOISE ST MONTPELIER, ID 83254-1056

Agent

Name Role Address
GARY GRIFFIN Agent 930 BOISE ST, MONTPELIER, ID 83254

Member

Name Role Address Appointed On Resigned On
Gary S. Griffin Member 930 BOISE ST, MONTPELIER, ID 83254 2020-11-06 No data
Georgia J Griffin Member 930 BOISE ST, MONTPELIER, ID 83254 2023-09-09 2023-09-09

National Provider Identifier

NPI Number:
1013482207

Authorized Person:

Name:
GARY GRIFFIN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
367500000X - Certified Registered Nurse Anesthetist
Is Primary:
Yes

Contacts:

Fax:
2085238978

Filing

Filing Name Filing Number Filing date
Annual Report 0005940568 2024-10-14
Annual Report 0005394822 2023-09-09
Annual Report 0004883275 2022-09-04
Statement of Change of Business Mailing Address 0004804119 2022-07-05
Annual Report 0004372990 2021-08-07

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Date of last update: 16 May 2025

Sources: Idaho Secretary of State