0002037575-25-000001.txt : 20250226
0002037575-25-000001.hdr.sgml : 20250226
20250226110754
ACCESSION NUMBER: 0002037575-25-000001
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06c
FILED AS OF DATE: 20250226
DATE AS OF CHANGE: 20250226
EFFECTIVENESS DATE: 20250226
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Ten Mile Surgery Center, LLC
CENTRAL INDEX KEY: 0002037575
ORGANIZATION NAME:
IRS NUMBER: 845119941
STATE OF INCORPORATION: ID
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-539266
FILM NUMBER: 25667681
BUSINESS ADDRESS:
STREET 1: 875 S. VANGUARD WAY
STREET 2: SUITE 120
CITY: MERIDIAN
STATE: ID
ZIP: 83642
BUSINESS PHONE: 208-463-3000
MAIL ADDRESS:
STREET 1: 875 S. VANGUARD WAY
STREET 2: SUITE 120
CITY: MERIDIAN
STATE: ID
ZIP: 83642
D
1
primary_doc.xml
X0708
D
LIVE
0002037575
Ten Mile Surgery Center, LLC
875 S. VANGUARD WAY
SUITE 120
MERIDIAN
ID
IDAHO
83642
208-463-3000
IDAHO
None
None
Limited Liability Company
true
Brian
Lannie
Checketts
875 S. Vanguard Way
Suite 120
Meridian
ID
IDAHO
83642
Director
Tiffany
Whitmore
875 S. Vanguard Way
Suite 120
Meridian
ID
IDAHO
83642
Director
David
McFadyen
875 S. Vanguard Way
Suite 120
Meridian
ID
IDAHO
83642
Director
John
Foote
875 S. Vanguard Way
Suite 120
Meridian
ID
IDAHO
83642
Director
Jesse
Chlebeck
875 S. Vanguard Way
Suite 120
Meridian
ID
IDAHO
83642
Director
Jennifer
Bloxham
875 S. Vanguard Way
Suite 120
Meridian
ID
IDAHO
83642
Executive Officer
Chief Executive Officer
Other Health Care
Decline to Disclose
- 06c
false
2025-02-11
false
true
false
0
1041780
325650
716130
false
2
0
0
0
false
Ten Mile Surgery Center, LLC
/s/ Jennifer Bloxham
Jennifer Bloxham
Chief Executive Officer
2025-02-26