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WEST VALLEY PROFESSIONAL FEE BILLING, LLC

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Company Details

Name: WEST VALLEY PROFESSIONAL FEE BILLING, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved
Date of registration: 13 Nov 2003 (22 years ago)
Financial Date End: 30 Nov 2017
Date dissolved: 14 Jun 2017
Entity Number: 93790
Place of Formation: IDAHO
File Number: 93790
Principal Address: ONE PARK PLAZA NASHVILLE, TN 37203

Agent

Name Role Address
C T CORPORATION SYSTEM Agent 1555 W SHORELINE DR, STE 100, BOISE, ID 83702

National Provider Identifier

NPI Number:
1972545762

Authorized Person:

Name:
MRS. KATHY MOORE
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
2084N0400X - Neurology Physician
Is Primary:
No
Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Registered Agent Name/Address Change (mass change) 0004902491 2022-09-12
Statement of Dissolution 0000699866 2017-06-14
Annual Report 0001271023 2016-10-19
Annual Report 0001271022 2015-10-14
Annual Report 0001271021 2014-11-06

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Date of last update: 26 May 2025

Sources: Idaho Secretary of State