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NORTH IDAHO DAY SURGERY, LLC

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Company Details

Name: NORTH IDAHO DAY SURGERY, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 12 Dec 2001 (24 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 65974
Place of Formation: IDAHO
File Number: 65974
Principal Address: NSH NORTH IDAHO INC 250 S WACKER DR STE 500 CHICAGO, IL 60606
Mailing Address: SUITE 600 340 SEVEN SPRINGS WAY BRENTWOOD, TN 37027

Agent

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

Manager

Name Role Address Appointed On Resigned On
TOM COWHEY Manager 310 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5799 2020-12-01 2022-11-29
JENNIFER BALDOCK Manager 310 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5799 2022-11-29 No data
Jennifer Baldock Manager 340 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027 2024-11-07 No data

National Provider Identifier

NPI Number:
1104824739
Certification Date:
2025-05-27

Authorized Person:

Name:
JASON BELL
Role:
PAYOR ENROLLMENT SPECIALIST
Phone:

Taxonomy:

Selected Taxonomy:
261QM1300X - Multi-Specialty Clinic/Center
Is Primary:
No
Selected Taxonomy:
282N00000X - General Acute Care Hospital
Is Primary:
Yes

Contacts:

Fax:
2082622390

Filing

Filing Name Filing Number Filing date
Annual Report 0005969780 2024-11-07
Annual Report 0005486480 2023-11-23
Annual Report 0005486479 2023-11-22
Annual Report 0005002259 2022-11-29
Registered Agent Name/Address Change (mass change) 0004638756 2022-03-08

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Date of last update: 14 Jul 2025

Sources: Idaho Secretary of State