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BORRON FAMILY MEDICINE LLC

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Company Details

Name: BORRON FAMILY MEDICINE LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 05 Aug 2010 (15 years ago)
Financial Date End: 31 Aug 2026
Entity Number: 295403
Place of Formation: IDAHO
File Number: 295403
ZIP code: 83646
County: Ada County
Principal Address: 790 W USTICK SUITE 110 MERIDIAN, ID 83646
Mailing Address: STE 110 790 W USTICK RD MERIDIAN, ID 83646-5558

Agent

Name Role Address
BROOKNEY R STONE Agent 790 W USTICK RD STE 110, MERIDIAN, ID 83646

Manager

Name Role Address Appointed On
Brookney R Stone Manager 1082 E TUTTLE STREET, MERIDIAN, ID 83646 2020-07-14

National Provider Identifier

NPI Number:
1033424429

Authorized Person:

Name:
BROOKNEY RAEANNE BORRON
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
No
Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
2086393992

Filing

Filing Name Filing Number Filing date
Annual Report 0006357971 2025-07-14
Annual Report 0005798183 2024-07-03
Annual Report 0005306846 2023-07-06
Annual Report 0004802147 2022-07-05
Annual Report 0004350133 2021-07-15

USAspending Awards / Financial Assistance

Date:
2020-05-02
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:
20662.00
Total Face Value Of Loan:
20662.00
Date:
2011-08-25
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
47000.00
Total Face Value Of Loan:
47000.00

Paycheck Protection Program

Jobs Reported:
5
Initial Approval Amount:
$20,662
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$20,662
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$20,841.99
Servicing Lender:
JPMorgan Chase Bank, National Association
Use of Proceeds:
Payroll: $14,510
Utilities: $1,432
Rent: $2,700
Healthcare: $2020

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Date of last update: 18 Jul 2025

Sources: Idaho Secretary of State