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UPPER VALLEY FAMILY PRACTICE, PLLC

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Company Details

Name: UPPER VALLEY FAMILY PRACTICE, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 26 Jun 2006 (19 years ago)
Financial Date End: 30 Jun 2024
Date dissolved: 05 Sep 2024
Entity Number: 167694
Place of Formation: IDAHO
File Number: 167694
ZIP code: 83440
County: Madison County
Principal Address: 32 W 1ST S REXBURG, ID 83440
Mailing Address: 32 W 1ST S REXBURG, ID 83440-1810

Agent

Name Role Address
JEFFREY G HOPKIN MD Agent 32 W 1ST S, REXBURG, ID 83440

Manager

Name Role Address Appointed On
Danielle Harris Manager 32 W 1ST S, REXBURG, ID 83440 2021-06-21

National Provider Identifier

NPI Number:
1922237874

Authorized Person:

Name:
DR. JEFFREY G HOPKIN
Role:
OWNER/ PHYSICAN
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2086560292

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0005884318 2024-09-05
Annual Report 0005275486 2023-06-12
Annual Report 0004787361 2022-06-20
Annual Report 0004321261 2021-06-21
Annual Report 0003908093 2020-06-12

USAspending Awards / Financial Assistance

Date:
2020-05-03
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:
65700.00
Total Face Value Of Loan:
65700.00

Paycheck Protection Program

Jobs Reported:
7
Initial Approval Amount:
$65,700
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$65,700
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$66,546
Servicing Lender:
Zions Bank, A Division of
Use of Proceeds:
Payroll: $65,700
Jobs Reported:
6
Initial Approval Amount:
$58,365
Date Approved:
2021-02-11
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$58,365
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$58,696
Servicing Lender:
Zions Bank, A Division of
Use of Proceeds:
Payroll: $58,361
Utilities: $1

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Date of last update: 01 Aug 2025

Sources: Idaho Secretary of State