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NORTH IDAHO MEDICAL CARE CENTERS, LLC

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Company Details

Name: NORTH IDAHO MEDICAL CARE CENTERS, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved
Date of registration: 04 Dec 2003 (22 years ago)
Financial Date End: 31 Dec 2012
Date dissolved: 28 Dec 2012
Entity Number: 94747
Place of Formation: IDAHO
File Number: 0000094747
ZIP code: 83854
County: Kootenai County
Principal Address: 927 E POLSTON STE 303 POST FALLS, ID 83854

National Provider Identifier

NPI Number:
1548414733

Authorized Person:

Name:
MS. SHANNON K HARRIS
Role:
BUSINESS DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
208D00000X - General Practice Physician
Is Primary:
Yes

Contacts:

Fax:
2086642793
Fax:
2086670125

Form 5500 Series

Employer Identification Number (EIN):
200470683
Plan Year:
2010
Number Of Participants:
25
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
27
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Statement of Dissolution 0000700700 2012-12-28
Annual Report 0001274935 2011-12-20
Change of Registered Office/Agent/Both (by Entity) 0001274936 2011-11-22
Application for Reinstatement 0001274940 2010-04-21
Application for Reinstatement 0000700698 2010-04-19

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Date of last update: 23 Sep 2024

Sources: Idaho Secretary of State