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NEW PLYMOUTH CLINIC, PLLC

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Company Details

Name: NEW PLYMOUTH CLINIC, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 31 Aug 2018 (7 years ago)
Financial Date End: 31 Aug 2025
Entity Number: 624647
Place of Formation: IDAHO
File Number: 624647
ZIP code: 83617
County: Gem County
Principal Address: 8611 DEWEY ROAD EMMETT, ID 83617
Mailing Address: 8611 DEWEY RD EMMETT, ID 83617-8855

Agent

Name Role Address
ROY STERNES Agent 8611 DEWEY ROAD, EMMETT, ID 83617

Manager

Name Role Address Appointed On
Roy Sternes Manager 8611 DEWEY ROAD, EMMETT, ID 83617 2020-07-06

National Provider Identifier

NPI Number:
1770059792

Authorized Person:

Name:
ROY STERNES
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QH0100X - Health Service Clinic/Center
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0005799252 2024-07-03
Annual Report 0005361103 2023-08-11
Annual Report 0004851742 2022-08-08
Annual Report 0004386617 2021-08-17
Annual Report 0003930656 2020-07-06

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Date of last update: 16 May 2025

Sources: Idaho Secretary of State