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MAGIC VALLEY FAMILY PRACTICE, P.L.L.C.

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Company Details

Name: MAGIC VALLEY FAMILY PRACTICE, P.L.L.C.
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 18 Dec 2006 (19 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 183166
Place of Formation: IDAHO
File Number: 183166
ZIP code: 83301
County: Twin Falls County
Principal Address: 1182 EASTLAND DR N STE B TWIN FALLS, ID 83301
Mailing Address: STE 300 2167 VILLAGE PARK AVE TWIN FALLS, ID 83301-4175

Agent

Name Role Address
DREW SIMMONS Agent 2167 VILLAGE PARK AVENUE, STE 300, TWIN FALLS, ID 83301

Member

Name Role Address Appointed On Resigned On
Drew Simmons Member 2167 VILLAGE PARK AVENUE, TWIN FALLS, ID 83301 2020-12-01 No data
Janet Simmons Member 2167 VILLAGE PARK AVENUE, TWIN FALLS, ID 83301 2023-12-04 2023-12-04

National Provider Identifier

NPI Number:
1528251519

Authorized Person:

Name:
MR. DREW B SIMMONS
Role:
NURSE PRACTITIONER/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2087335143

Filing

Filing Name Filing Number Filing date
Annual Report 0006015938 2024-12-06
Annual Report 0005499505 2023-12-04
Annual Report 0005026096 2022-12-09
Annual Report 0004495950 2021-11-11
Annual Report 0004077329 2020-12-01

USAspending Awards / Financial Assistance

Date:
2020-04-11
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:
31600.00
Total Face Value Of Loan:
31600.00

Paycheck Protection Program

Jobs Reported:
3
Initial Approval Amount:
$31,600
Date Approved:
2020-04-10
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$31,600
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$31,836.35
Servicing Lender:
First Federal Savings Bank of Twin Falls
Use of Proceeds:
Payroll: $31,600

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Date of last update: 02 Aug 2025

Sources: Idaho Secretary of State