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WOOD RIVER FAMILY MEDICINE, PLLC

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Company Details

Name: WOOD RIVER FAMILY MEDICINE, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 10 Nov 2004 (21 years ago)
Financial Date End: 30 Nov 2025
Entity Number: 116064
Place of Formation: IDAHO
File Number: 116064
ZIP code: 83333
County: Blaine County
Principal Address: 113 BLACKFEET DRIVE HAILEY, ID 83333
Mailing Address: 113 BLACKFEET DR HAILEY, ID 83333-8521

Agent

Name Role Address
RICHARD F PARIS MD Agent 113 BLACKFEET DRIVE, HAILEY, ID 83333

Member

Name Role Address Appointed On
RICHARD F PARIS Member 113 BLACKFEET DRIVE, HAILEY, ID 83333 2020-11-06

National Provider Identifier

NPI Number:
1346441912

Authorized Person:

Name:
CARL A BARBEE
Role:
PHYSICIAN
Phone:

Taxonomy:

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

Contacts:

Fax:
2087882025

Filing

Filing Name Filing Number Filing date
Annual Report 0005976587 2024-11-11
Annual Report 0005417536 2023-10-03
Annual Report 0004953277 2022-10-14
Annual Report 0004492580 2021-11-08
Annual Report 0004061167 2020-11-06

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Date of last update: 27 May 2025

Sources: Idaho Secretary of State