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IDAHO SURGICENTER NORTH, LLC

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Company Details

Name: IDAHO SURGICENTER NORTH, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved
Date of registration: 14 Apr 2003 (22 years ago)
Financial Date End: 30 Apr 2020
Date dissolved: 21 Nov 2019
Entity Number: 84454
Place of Formation: IDAHO
File Number: 84454
ZIP code: 83404
County: Bonneville County
Principal Address: TONY QUINTON 3369 MERLIN DRIVE, SUITE B IDAHO FALLS, ID 83404
Mailing Address: TONY QUINTON PO BOX 1386 IDAHO FALLS, ID 83403-1386

Agent

Name Role Address
KELSEY MCCELLAN Agent 3369 MERLIN DR, IDAHO FALLS, ID 83404

National Provider Identifier

NPI Number:
1194735522

Authorized Person:

Name:
DR. TONY D QUINTON
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2085292252

Filing

Filing Name Filing Number Filing date
Statement of Dissolution 0003681706 2019-11-21
Amendment to Certificate 0003680519 2019-11-19
Amendment to Certificate 0003630275 2019-09-27
Annual Report 0003522127 2019-05-23
Annual Report 0001234490 2018-02-26

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Date of last update: 23 Jun 2025

Sources: Idaho Secretary of State