Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Ada County
    4. ›
  4. 83714
    5. ›
  5. ALLIANCE MEDICAL GROUP, LLC

ALLIANCE MEDICAL GROUP, LLC

Company Details

Name: ALLIANCE MEDICAL GROUP, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 07 Apr 2005 (20 years ago)
Financial Date End: 30 Apr 2025
Entity Number: 127707
Place of Formation: IDAHO
File Number: 127707
ZIP code: 83714
County: Ada County
Principal Address: 10482 W CARLTON BAY DR. GARDEN CITY, ID 83714
Mailing Address: 10482 W CARLTON BAY DR GARDEN CITY, ID 83714-5143

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
GFWSPBJL18X3 2024-10-03 10482 W CARLTON BAY DR, BOISE, ID, 83714, 5143, USA PO BOX 191050, BOISE, ID, 83719, USA

Business Information
Doing Business As ALLIANCE MEDICAL GROUP LLC
URL primaryhealth.com
Congressional District 02
State/Country of Incorporation ID, USA
Activation Date 2023-10-05
Initial Registration Date 2008-01-30
Entity Start Date 2005-06-01
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 621111
Product and Service Codes Q201

Points of Contacts
Electronic Business
Title PRIMARY POC
Name CHRISTINE BEKKER
Role DIRECTOR OF BILLING
Address PO BOX 191050, BOISE, ID, 83719, 1050, USA
Government Business
Title PRIMARY POC
Name CHRISTINE BEKKER
Role DIRECTOR OF BILLING
Address PO BOX 191050, BOISE, ID, 83719, 1050, USA
Title ALTERNATE POC
Name LINDA BARNES
Role CONTRACT MANAGER
Address PO BOX 191050, BOISE, ID, 83719, 1050, USA
Past Performance
Title PRIMARY POC
Name KIRK MOORE ACCOUNTING
Address PO BOX 191050, BOISE, ID, 83719, 1050, USA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PRIMARY HEALTH MEDICAL GROUP WELFARE BENEFIT PLAN 2023 202630141 2024-07-10 ALLIANCE MEDICAL GROUP 488
File View Page
Three-digit plan number (PN) 525
Effective date of plan 2005-06-01
Business code 621491
Sponsor’s telephone number 2089556504
Plan sponsor’s DBA name PRIMARY HEALTH MEDICAL GROUP
Plan sponsor’s mailing address 10482 W. CARLTON BAY DRIVE, GARDEN VALLEY, ID, 83714
Plan sponsor’s address 10482 W CARLTON BAY DR, GARDEN CITY, ID, 837145143

Number of participants as of the end of the plan year
Active participants 492
Retired or separated participants receiving benefits 14
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2024-07-10
Name of individual signing KIRK MOORE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2024-07-10
Name of individual signing KIRK MOORE
Valid signature Filed with authorized/valid electronic signature
PRIMARY HEALTH MEDICAL GROUP WELFARE BENEFIT PLAN 2022 202630141 2023-06-15 ALLIANCE MEDICAL GROUP 467
File View Page
Three-digit plan number (PN) 525
Effective date of plan 2005-06-01
Business code 621491
Sponsor’s telephone number 2089556504
Plan sponsor’s DBA name PRIMARY HEALTH MEDICAL GROUP
Plan sponsor’s mailing address 10482 W. CARLTON BAY DRIVE, GARDEN VALLEY, ID, 83714
Plan sponsor’s address 10482 W CARLTON BAY DR, GARDEN CITY, ID, 837145143

Number of participants as of the end of the plan year
Active participants 488
Retired or separated participants receiving benefits 0
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2023-06-15
Name of individual signing KIRK MOORE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2023-06-15
Name of individual signing KIRK MOORE
Valid signature Filed with authorized/valid electronic signature
PRIMARY HEALTH MEDICAL GROUP WELFARE BENEFIT PLAN 2021 202630141 2022-10-03 ALLIANCE MEDICAL GROUP 666
File View Page
Three-digit plan number (PN) 525
Effective date of plan 2005-06-01
Business code 621491
Sponsor’s telephone number 2089556504
Plan sponsor’s DBA name PRIMARY HEALTH MEDICAL GROUP
Plan sponsor’s mailing address 10482 W. CARLTON BAY DRIVE, GARDEN VALLEY, ID, 83714
Plan sponsor’s address 10482 W CARLTON BAY DR, GARDEN CITY, ID, 837145143

Number of participants as of the end of the plan year
Active participants 461
Retired or separated participants receiving benefits 6
Other retired or separated participants entitled to future benefits 0

Signature of
Role Plan administrator
Date 2022-10-03
Name of individual signing KIRK MOORE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2022-10-03
Name of individual signing KIRK MOORE
Valid signature Filed with authorized/valid electronic signature
PRIMARY HEALTH MEDICAL GROUP WELFARE BENEFIT PLAN 2020 202630141 2021-10-14 ALLIANCE MEDICAL GROUP 673
File View Page
Three-digit plan number (PN) 525
Effective date of plan 2005-06-01
Business code 621491
Sponsor’s telephone number 2089556512
Plan sponsor’s DBA name PRIMARY HEALTH MEDICAL GROUP
Plan sponsor’s mailing address 10482 W CARLTON BAY DR, GARDEN CITY, ID, 837145143
Plan sponsor’s address 10482 W CARLTON BAY DR, GARDEN CITY, ID, 837145143

Number of participants as of the end of the plan year
Active participants 666

Signature of
Role Plan administrator
Date 2021-10-14
Name of individual signing KIRK MOORE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-14
Name of individual signing KIRK MOORE
Valid signature Filed with authorized/valid electronic signature
PRIMARY HEALTH MEDICAL GROUP WELFARE BENEFIT PLAN 2019 202630141 2020-07-28 ALLIANCE MEDICAL GROUP 640
File View Page
Three-digit plan number (PN) 525
Effective date of plan 2005-06-01
Business code 621491
Sponsor’s telephone number 2089556512
Plan sponsor’s DBA name PRIMARY HEALTH MEDICAL GROUP
Plan sponsor’s mailing address 10482 W CARLTON BAY DR, GARDEN CITY, ID, 837145143
Plan sponsor’s address 10482 W CARLTON BAY DR, GARDEN CITY, ID, 837145143

Number of participants as of the end of the plan year
Active participants 673

Signature of
Role Plan administrator
Date 2020-07-28
Name of individual signing KIRK MOORE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-07-28
Name of individual signing KIRK MOORE
Valid signature Filed with authorized/valid electronic signature
PRIMARY HEALTH MEDICAL GROUP WELFARE BENEFIT PLAN 2018 202630141 2019-09-12 ALLIANCE MEDICAL GROUP 596
File View Page
Three-digit plan number (PN) 525
Effective date of plan 2005-06-01
Business code 621491
Sponsor’s telephone number 2089556512
Plan sponsor’s DBA name PRIMARY HEALTH MEDICAL GROUP
Plan sponsor’s mailing address 10482 W CARLTON BAY DR, GARDEN CITY, ID, 837145143
Plan sponsor’s address 10482 W CARLTON BAY DR, GARDEN CITY, ID, 837145143

Number of participants as of the end of the plan year
Active participants 640

Signature of
Role Plan administrator
Date 2019-09-12
Name of individual signing KIRK MOORE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2019-09-12
Name of individual signing KIRK MOORE
Valid signature Filed with authorized/valid electronic signature
PRIMARY HEALTH MEDICAL GROUP WELFARE BENEFIT PLAN 2017 202630141 2018-09-27 ALLIANCE MEDICAL GROUP 520
File View Page
Three-digit plan number (PN) 525
Effective date of plan 2005-06-01
Business code 621491
Sponsor’s telephone number 2089556512
Plan sponsor’s DBA name PRIMARY HEALTH MEDICAL GROUP
Plan sponsor’s mailing address 10482 W CARLTON BAY DR, GARDEN CITY, ID, 837145143
Plan sponsor’s address 10482 W CARLTON BAY DR, GARDEN CITY, ID, 837145143

Number of participants as of the end of the plan year
Active participants 596

Signature of
Role Plan administrator
Date 2018-09-27
Name of individual signing KIRK MOORE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-09-27
Name of individual signing KIRK MOORE
Valid signature Filed with authorized/valid electronic signature
PRIMARY HEALTH MEDICAL GROUP WELFARE BENEFIT PLAN 2016 202630141 2017-07-27 ALLIANCE MEDICAL GROUP 452
File View Page
Three-digit plan number (PN) 525
Effective date of plan 2005-06-01
Business code 621491
Sponsor’s telephone number 2089556512
Plan sponsor’s DBA name PRIMARY HEALTH MEDICAL GROUP
Plan sponsor’s mailing address 10482 W CARLTON BAY DR, GARDEN CITY, ID, 837145143
Plan sponsor’s address 10482 W CARLTON BAY DR, GARDEN CITY, ID, 837145143

Number of participants as of the end of the plan year
Active participants 520

Signature of
Role Plan administrator
Date 2017-07-27
Name of individual signing KIRK MOORE
Valid signature Filed with authorized/valid electronic signature
PRIMARY HEALTH MEDICAL GROUP WELFARE BENEFIT PLAN 2015 202630141 2016-07-28 ALLIANCE MEDICAL GROUP 431
File View Page
Three-digit plan number (PN) 525
Effective date of plan 2005-06-01
Business code 621491
Sponsor’s telephone number 2089556512
Plan sponsor’s DBA name PRIMARY HEALTH MEDICAL GROUP
Plan sponsor’s mailing address 10482 W CARLTON BAY DR, GARDEN CITY, ID, 837145143
Plan sponsor’s address 10482 W CARLTON BAY DR, GARDEN CITY, ID, 837145143

Number of participants as of the end of the plan year
Active participants 452

Signature of
Role Plan administrator
Date 2016-07-28
Name of individual signing KIRK MOORE
Valid signature Filed with authorized/valid electronic signature
PRIMARY HEALTH MEDICAL GROUP WELFARE BENEFIT PLAN 2014 202630141 2015-07-28 ALLIANCE MEDICAL GROUP 368
File View Page
Three-digit plan number (PN) 525
Effective date of plan 2005-06-01
Business code 621491
Sponsor’s telephone number 2089556512
Plan sponsor’s DBA name PRIMARY HEALTH MEDICAL GROUP
Plan sponsor’s mailing address 10482 W. CARLTON BAY DR, GARDEN CITY, ID, 83714
Plan sponsor’s address 10482 W. CARLTON BAY DR, GARDEN CITY, ID, 83714

Number of participants as of the end of the plan year
Active participants 375

Signature of
Role Plan administrator
Date 2015-07-28
Name of individual signing KIRK MOORE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2015-07-28
Name of individual signing KIRK MOORE
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
Nicholas L Taylor Agent 101 S CAPITOL BLVD, 1701, BOISE, ID 83703

Manager

Name Role Address Appointed On Resigned On
David Peterman Manager 10482 W CARLTON BAY DR, GARDEN CITY, ID 83714 2021-05-24 2023-03-06
Dan Reed Manager 10482 W CARLTON BAY DR, GARDEN CITY, ID 83714 2023-03-06 No data

Filing

Filing Name Filing Number Filing date
Annual Report 0005629681 2024-03-04
Change of Registered Office/Agent/Both (by Entity) 0005324164 2023-07-20
Annual Report 0005138121 2023-03-06
Annual Report 0004628296 2022-03-03
Annual Report 0004289964 2021-05-24
Change of Registered Office/Agent/Both (by Entity) 0004016482 2020-10-06
Annual Report 0003856342 2020-05-01
Annual Report 0003490229 2019-04-23
Annual Report 0001410441 2018-03-20
Annual Report 0001410440 2017-03-20

Related by officers

Nicholas L Taylor

SR Partners, LLC Prestige Worldwide Holdings LLC Waypoint Investments, LLC Waypoint DA40NG, LLC Full Send Estates LLC Block Chain Capitalists, Inc. Prestige Plateau Creek LLC Prestige Lesina LLC Prestige HS LLC Deez Lots LLC

David Peterman

ALLIANCE PROVIDERS, LLC

Related by address

10482 W CARLTON BAY DR. GARDEN CITY, ID 83714

ALLIANCE PROVIDERS, LLC

10482 W CARLTON BAY DR GARDEN CITY, ID 83714-5143

ALLIANCE PROVIDERS, LLC PHMG CHERRY LANE LLC PHMG 10 MILE LLC PHMG PEDS UC EAGLE LLC PHMG NORTH CALDWELL, LLC

Date of last update: 30 Nov 2024

Sources: Idaho Secretary of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 idorgs.com, Part of Big Data Integrated