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NORTH IDAHO DAY SURGERY, LLC

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Company Details

Legal Name: NORTH IDAHO DAY SURGERY, LLC
Jurisdiction: WASHINGTON
Entity Type: FOREIGN LIMITED LIABILITY COMPANY
Category: FOREIGN ENTITY
Status: Terminated
Formation/ Registration Date: March 26th 2014
Date of Dissolution: July 1st 2016
Expiration date: 31 Mar 2016
UBI Number: 603 389 340

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Registered Agent Information

Name Role Address
NORTHWEST SPECIALTY HOSPITAL Registered Agent 2207 N MOLTER RD STE 101, LIBERTY LAKE, WA, 99019-7570, UNITED STATES

Key Officers & Management

Name Role Address
RICK RASMUSSEN Governing Person 1593 E POLSTON AVE, POST FALLS, ID, 83854, UNITED STATES

National Provider Identifier

NPI Number:
1740917111
Certification Date:
2022-08-04

Authorized Person:

Name:
MR. RICK RASMUSSEN
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
261QM1300X - Multi-Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2082622390
Fax:
2084574197
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