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FALL CREEK SKIN AND HEALTH, PLLC

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Company Details

Name: FALL CREEK SKIN AND HEALTH, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 28 May 2004 (21 years ago)
Financial Date End: 31 May 2026
Entity Number: 105652
Place of Formation: IDAHO
File Number: 105652
ZIP code: 83440
County: Madison County
Principal Address: 534 TREJO SUITE 400 REXBURG, ID 83440
Mailing Address: STE 400 534 TREJO ST REXBURG, ID 83440-5405

Agent

Name Role Address
BRETT BAGLEY Agent 534 TREJO SUITE 400, REXBURG, ID 83440

National Provider Identifier

NPI Number:
1629247093

Authorized Person:

Name:
MR. BRETT GERALD BAGLEY
Role:
PHYSICIAN ASSISTANT CERTIFIED
Phone:

Taxonomy:

Selected Taxonomy:
363AM0700X - Medical Physician Assistant
Is Primary:
Yes

Contacts:

Fax:
2083592042

Filing

Filing Name Filing Number Filing date
Annual Report 0006184991 2025-04-03
Annual Report 0005673801 2024-04-04
Annual Report 0005180296 2023-04-04
Annual Report 0004711891 2022-04-21
Annual Report 0004245625 2021-04-12

USAspending Awards / Financial Assistance

Date:
2020-04-28
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
28700.00
Total Face Value Of Loan:
28700.00
Date:
2020-04-28
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
28700.00
Total Face Value Of Loan:
28700.00

Paycheck Protection Program

Jobs Reported:
8
Initial Approval Amount:
$28,700
Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$28,700
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$28,844.68
Servicing Lender:
The Bank of Commerce
Use of Proceeds:
Payroll: $28,700

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Date of last update: 31 Jul 2025

Sources: Idaho Secretary of State