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VALLEY VIEW FAMILY MEDICAL PLLC

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Company Details

Name: VALLEY VIEW FAMILY MEDICAL PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 28 Apr 2011 (14 years ago)
Financial Date End: 30 Apr 2024
Date dissolved: 06 Jul 2024
Entity Number: 317972
Place of Formation: IDAHO
File Number: 317972
ZIP code: 83338
County: Jerome County
Principal Address: 1100 N LINCOLN AVE JEROME, ID 83338
Mailing Address: JLENE MENA 164 E 200 S JEROME, ID 83338-6312

Agent

Name Role Address
J'LENE MENA Agent 164 E 200 S, JEROME, ID 83338

Manager

Name Role Address Appointed On
ROBERT M MENA Manager 1100 N LINCOLN AVE, JEROME, ID 83338 2021-03-30

National Provider Identifier

NPI Number:
1821419946

Authorized Person:

Name:
ROBERT MENA
Role:
OWNER/PROVIDER
Phone:

Taxonomy:

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

Contacts:

Fax:
2083241492

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0005804681 2024-07-06
Annual Report 0005142254 2023-03-07
Annual Report 0004735090 2022-05-04
Annual Report 0004222741 2021-03-30
Annual Report 0003839951 2020-04-08

USAspending Awards / Financial Assistance

Date:
2020-05-19
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:
2900.00
Total Face Value Of Loan:
2900.00

Paycheck Protection Program

Date Approved:
2020-05-19
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
2900
Current Approval Amount:
2900
Race:
White
Ethnicity:
Hispanic or Latino
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
2921.61

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Date of last update: 28 Jun 2025

Sources: Idaho Secretary of State