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TETON MEDICAL GROUP PLLC

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Company Details

Name: TETON MEDICAL GROUP PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 27 Jul 2007 (18 years ago)
Financial Date End: 31 Jul 2025
Entity Number: 206212
Place of Formation: IDAHO
File Number: 206212
ZIP code: 83440
County: Madison County
Principal Address: 255 N 3RD E REXBURG, ID 83440
Mailing Address: 255 N 3RD E REXBURG, ID 83440-1629

Agent

Name Role Address
THOMAS JONES MD Agent 255 N 3RD E, REXBURG, ID 83440

Manager

Name Role Address Appointed On
Thomas Jones Manager 255 N 3RD E, REXBURG, ID 83440 2020-08-10

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
G5B4HLB2AFD5
CAGE Code:
961W3
UEI Expiration Date:
2023-10-27

Business Information

Activation Date:
2022-10-31
Initial Registration Date:
2021-09-27

National Provider Identifier

NPI Number:
1154502615

Authorized Person:

Name:
RICHARD THOMAS JONES
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
2083567566

Filing

Filing Name Filing Number Filing date
Annual Report 0005848612 2024-08-06
Annual Report 0005347771 2023-08-03
Annual Report 0004768568 2022-06-04
Annual Report 0004302638 2021-06-03
Annual Report 0003965327 2020-08-10

USAspending Awards / Financial Assistance

Date:
2020-04-14
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:
169500.00
Total Face Value Of Loan:
169500.00
Date:
2014-01-21
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO ASSIST SMALL BUSINESS CONCERNS BY PROVIDING LONG TERM FINANCING THROUGH THE SALE OF DEBENTURES TO THE PRIVATE SECTOR
Obligated Amount:
0.00
Face Value Of Loan:
372000.00
Total Face Value Of Loan:
372000.00

Paycheck Protection Program

Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
169500
Current Approval Amount:
169500
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
171083.55

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Date of last update: 29 May 2025

Sources: Idaho Secretary of State