0001811649-20-000001.txt : 20200512 0001811649-20-000001.hdr.sgml : 20200512 20200511202816 ACCESSION NUMBER: 0001811649-20-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20200512 DATE AS OF CHANGE: 20200511 EFFECTIVENESS DATE: 20200512 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Saltzer ASC Ten Mile, LLC CENTRAL INDEX KEY: 0001811649 IRS NUMBER: 845119941 STATE OF INCORPORATION: ID FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-366697 FILM NUMBER: 20866766 BUSINESS ADDRESS: STREET 1: 215 E. HAWAII AVE. CITY: NAMPA STATE: ID ZIP: 83686 BUSINESS PHONE: 208-463-3000 MAIL ADDRESS: STREET 1: 215 E. HAWAII AVE. CITY: NAMPA STATE: ID ZIP: 83686 D 1 primary_doc.xml X0708 D LIVE 0001811649 Saltzer ASC Ten Mile, LLC 215 E. HAWAII AVE. NAMPA ID IDAHO 83686 208-463-3000 IDAHO None None Limited Liability Company true 2019 Ed Castledine 215 E. HAWAII AVE. NAMPA ID IDAHO 83686 Director Other Health Care Decline to Disclose 06b false 2020-04-24 false true false 30000 1470003 1470003 0 false 21 0 0 0 false Saltzer ASC Ten Mile, LLC /s/ Ed Castledine Ed Castledine Operations Manager 2020-05-11