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  5. NORTH IDAHO FAMILY PHYSICIANS LLC

NORTH IDAHO FAMILY PHYSICIANS LLC

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Company Details

Name: NORTH IDAHO FAMILY PHYSICIANS LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved
Date of registration: 15 May 1998 (27 years ago)
Financial Date End: 31 May 2024
Date dissolved: 04 Aug 2023
Entity Number: 33431
Place of Formation: IDAHO
File Number: 33431
ZIP code: 83814
County: Kootenai County
Principal Address: 700 IRONWOOD DR 220E COEUR D ALENE, ID 83814
Mailing Address: PO BOX 2861 HAYDEN, ID 83835-2861

Agent

Name Role Address
NEIL NEMEC Agent 206 N LAKEVIEW DRIVE, COEUR D'ALENE, ID 83814

Manager

Name Role Address Appointed On
NEIL NEMEC Manager 206 N LAKEVIEW DRIVE, COEUR D'ALENE, ID 83814 2021-04-05

Links between entities

Type:
Headquarter of
Company Number:
undefined604084637
State:
WASHINGTON
WASHINGTON profile:
NORTH IDAHO FAMILY PHYSICIANS LLC (WA)

Unique Entity ID

CAGE Code:
41UD5
UEI Expiration Date:
2019-12-20

Business Information

Doing Business As:
MEDICAL PRACTICE MANAGEMENT SERVICES
Activation Date:
2018-12-20
Initial Registration Date:
2006-08-09

Commercial and government entity program

CAGE number:
41UD5
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2023-12-22
CAGE Expiration:
2023-12-21

Contact Information

POC:
ERIC KOELSCH

National Provider Identifier

NPI Number:
1841364064
Link:
View on NPI website

Authorized Person:

Name:
ERIC KOELSCH
Role:
EXECUTIVE DIRECTOR
Phone:
2086760145

Taxonomy:

Selected Taxonomy:
2085R0202X - Diagnostic Radiology Physician
Is Primary:
Yes

Contacts:

Phone:
+1 208-664-5904
Fax:
2082920797

Form 5500 Series

Employer Identification Number (EIN):
820504320
Plan Year:
2020
Number Of Participants:
85
Sponsors Telephone Number:
2082920990
File:
View File
Plan Year:
2017
Number Of Participants:
121
Sponsors Telephone Number:
2082920990
File:
View File
Plan Year:
2017
Number Of Participants:
118
Sponsors Telephone Number:
2082920990
File:
View File
Plan Year:
2017
Number Of Participants:
135
Sponsors Telephone Number:
2082920990
File:
View File
Plan Year:
2016
Number Of Participants:
128
Sponsors Telephone Number:
2082922935
File:
View File

Filing

Filing Name Filing Number Filing date
Statement of Dissolution 0005353327 2023-08-04
Annual Report 0005177370 2023-04-03
Annual Report 0004686653 2022-04-04
Annual Report 0004230480 2021-04-05
Statement of Change of Business Mailing Address 0004027435 2020-10-07

USAspending Awards / Contracts

Procurement Instrument Identifier:
N0016716P0138
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
PURCHASE ORDER
Action Obligation:
5201.00
Base And Exercised Options Value:
5201.00
Base And All Options Value:
5201.00
Awarding Agency Name:
Department of Defense
Performance Start Date:
2016-05-11
Description:
IGF::OT::IGF MEDICAL SURVEILLANCE/CERTIFICATION EXAMS
Naics Code:
621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product Or Service Code:
Q509: MEDICAL- INTERNAL MEDICINE
Procurement Instrument Identifier:
N6554009P5238
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
PURCHASE ORDER
Action Obligation:
6671.00
Base And Exercised Options Value:
6671.00
Base And All Options Value:
6671.00
Awarding Agency Name:
Department of Defense
Performance Start Date:
2009-07-28
Description:
PHYSICAL EXAMS
Naics Code:
621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product Or Service Code:
Q403: EVALUATION AND SCREENING
Procurement Instrument Identifier:
DJFZ9C900553
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
PO
Action Obligation:
19000.00
Base And Exercised Options Value:
19000.00
Base And All Options Value:
19000.00
Awarding Agency Name:
Department of Justice
Performance Start Date:
2008-11-21
Description:
MEDICAL EXAMS
Naics Code:
621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product Or Service Code:
Q201: GENERAL HEALTH CARE SERVICES

USAspending Awards / Financial Assistance

Date:
2020-04-09
Link:
View on USAspending
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:
393994.00
Total Face Value Of Loan:
393994.00
Date:
2020-04-09
Link:
View on USAspending
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:
393994.00
Total Face Value Of Loan:
393994.00

Paycheck Protection Program

Jobs Reported:
33
Initial Approval Amount:
$393,994
Date Approved:
2020-04-09
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$393,994
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$396,158.68
Servicing Lender:
Glacier Bank
Use of Proceeds:
Payroll: $393,994

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Date of last update: 26 Aug 2025

Sources: Idaho Secretary of State

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