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MIDVALLEY HEALTHCARE PLLC

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Company Details

Name: MIDVALLEY HEALTHCARE PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 11 Sep 2009 (16 years ago)
Financial Date End: 30 Sep 2025
Entity Number: 270291
Place of Formation: IDAHO
File Number: 270291
ZIP code: 83642
County: Ada County
Principal Address: 2321 E GALA ST STE 3 MERIDIAN, ID 83642
Mailing Address: STE 3 2321 E GALA ST MERIDIAN, ID 83642-7692

Agent

Name Role Address
KRISTINA HARRINGTON Agent 8162 W DRAKE LN, GARDEN CITY, ID 83714

Member

Name Role Address Appointed On
Kristina J Harrington Member 8162 W DRAKE LN, GARDEN CITY, ID 83714 2020-08-03
Olurotimi A Ashaye Member 2852 S WHITECASTLE AV, EAGLE, ID 83616 2023-08-07

National Provider Identifier

NPI Number:
1336553692
Certification Date:
2021-11-16

Authorized Person:

Name:
KRISTINA HARRINGTON
Role:
CO-OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QR0405X - Substance Use Disorder Rehabilitation Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2088880884

Form 5500 Series

Employer Identification Number (EIN):
270588938
Plan Year:
2024
Number Of Participants:
21
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
19
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
18
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
16
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
14
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0005840748 2024-08-05
Annual Report 0005355180 2023-08-07
Annual Report 0004838763 2022-08-03
Annual Report 0004364224 2021-08-03
Annual Report 0003952693 2020-08-03

USAspending Awards / Financial Assistance

Date:
2020-06-22
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-09
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:
209600.00
Total Face Value Of Loan:
209600.00

Paycheck Protection Program

Jobs Reported:
17
Initial Approval Amount:
$209,600
Date Approved:
2020-04-09
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$209,600
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$211,730.45
Servicing Lender:
Washington Trust Bank
Use of Proceeds:
Payroll: $209,600

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Date of last update: 18 Jul 2025

Sources: Idaho Secretary of State