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IDAHO EMERGENCY MEDICAL GROUP, P.C.

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Company Details

Name: IDAHO EMERGENCY MEDICAL GROUP, P.C.
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Inactive-Dissolved
Date of registration: 15 Jan 2016 (10 years ago)
Financial Date End: 31 Jan 2025
Date dissolved: 20 Dec 2024
Entity Number: 625229
Place of Formation: IDAHO
File Number: 625229
Mailing Address: STE 203 265 BROOKVIEW CENTRE WAY KNOXVILLE, TN 37919-4052

Agent

Name Role Address
CORPORATION SERVICE COMPANY Agent 1305 12TH AVE RD, NAMPA, ID 83686

Director

Name Role Address Appointed On
Robert Frantz MD Director 5000 HOPYARD ROAD SUITE 410, PLEASANTON, CA 94588 2021-01-14

Treasurer

Name Role Address Appointed On
Kristopher Smith Treasurer 5000 HOPYARD ROAD SUITE 410, PLEASANTON, CA 94588 2024-01-02

Vice President

Name Role Address Appointed On
Jennifer Behm Vice President 5000 HOPYARD ROAD SUITE 410, PLEASANTON, CA 94588 2024-01-02

President

Name Role Address Appointed On
Robert Frantz MD President 5000 HOPYARD ROAD SUITE 410, PLEASANTON, CA 94588 2024-01-02

National Provider Identifier

NPI Number:
1417314543
Certification Date:
2020-03-04

Authorized Person:

Name:
SHARON HARDY
Role:
PE DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
363A00000X - Physician Assistant
Is Primary:
No
Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
207P00000X - Emergency Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
9259240506
Fax:
2084553717

Filing

Filing Name Filing Number Filing date
Articles of Dissolution 0006033452 2024-12-20
Annual Report 0005532333 2024-01-02
Annual Report 0005073507 2023-01-18
Registered Agent Name/Address Change (mass change) 0004645418 2022-03-08
Annual Report 0004561004 2022-01-11

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Date of last update: 05 Jul 2025

Sources: Idaho Secretary of State