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FAMILY PRACTICE GROUP, P.A.

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Company Details

Name: FAMILY PRACTICE GROUP, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 10 Feb 1989 (36 years ago)
Financial Date End: 28 Feb 2026
Entity Number: 275609
Place of Formation: IDAHO
File Number: 275609
ZIP code: 83201
County: Bannock County
Mailing Address: SHELLY STRANSKI STE B 1951 BENCH RD POCATELLO, ID 83201-2073

President

Name Role Address Appointed On Resigned On
Blaine Olsen President 1951 BENCH RD., SUITE B, POCATELLO, ID 83201 2021-01-04 2023-03-09
Travis Nielsen President 1951 BENCH RD., POCATELLO, ID 83201 2023-03-09 No data

Agent

Name Role Address
Travis Nielsen Agent 1951 BENCH RD, STE B, POCATELLO, ID 83201-2073

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.

CAGE Code:
7NR80
UEI Expiration Date:
2018-06-14

Business Information

Doing Business As:
BAKER, MICHAEL S MD
Activation Date:
2017-06-14
Initial Registration Date:
2016-07-11

Commercial and government entity program

The The Commercial And Government Entity Code (CAGE) is assigned by the Department of Defense's Defense Logistics Agency (DLA) and represents your company's physical address for GSA's mailings, payments, and administrative records.

Note: A CAGE Code enables a company to contract with the U.S. government, allowing bid on government contracts and to receive government payments. Also for business this means that it's a Verified business entity and Has a validated physical address.

CAGE number:
7NR80
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2022-06-15
CAGE Expiration:
2022-06-14

Contact Information

POC:
SHELLY STRANSKI

National Provider Identifier

NPI Number:
1912723214
Certification Date:
2024-11-26

Authorized Person:

Name:
JANETTE ROPICKY
Role:
CERTIFIED CODER
Phone:

Taxonomy:

Selected Taxonomy:
261QR0404X - Cardiac Rehabilitation Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2082380009

Form 5500 Series

Employer Identification Number (EIN):
820437409
Plan Year:
2023
Number Of Participants:
31
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
31
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
37
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
40
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
35
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006089590 2025-02-03
Annual Report 0005584977 2024-02-05
Annual Report 0005150621 2023-03-09
Annual Report 0004550558 2022-01-03
Annual Report 0004115053 2021-01-04

USAspending Awards / Financial Assistance

Date:
2020-04-15
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:
-100.00
Total Face Value Of Loan:
315900.00

Paycheck Protection Program

Date Approved:
2020-04-09
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
316000
Current Approval Amount:
315900
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
317683.78

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Date of last update: 27 Jun 2025

Sources: Idaho Secretary of State