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COTTONWOOD FAMILY MEDICINE PLLC

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Company Details

Name: COTTONWOOD FAMILY MEDICINE PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 19 Mar 2012 (13 years ago)
Financial Date End: 31 Mar 2026
Entity Number: 345275
Place of Formation: IDAHO
File Number: 345275
ZIP code: 83616
County: Ada County
Principal Address: 100 COTTONWOOD CT STE 150 150 EAGLE, ID 83616
Mailing Address: STE B 5999 W STATE ST GARDEN CITY, ID 83703-5059

Agent

Name Role Address
KIRK MILLER MD Agent 1417 N 19TH ST, BOISE, ID 83702

Manager

Name Role Address Appointed On
Marci D Price-Miller MD Manager 5999 W STATE ST, GARDEN CITY, ID 83703-5059 2021-02-04

National Provider Identifier

NPI Number:
1922366707

Authorized Person:

Name:
MARCIA DEE PRICE-MILLER
Role:
OWNER/OPERATOR
Phone:

Taxonomy:

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

Contacts:

Fax:
2089952874

Filing

Filing Name Filing Number Filing date
Annual Report 0006182837 2025-04-03
Annual Report 0005635733 2024-03-05
Annual Report 0005127378 2023-02-28
Annual Report 0004613311 2022-02-16
Annual Report 0004164950 2021-02-04

USAspending Awards / Financial Assistance

Date:
2020-04-25
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
1000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-14
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:
30000.00
Total Face Value Of Loan:
30000.00

Paycheck Protection Program

Date Approved:
2020-04-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
30000
Current Approval Amount:
30000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
30177.37

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Date of last update: 28 Jun 2025

Sources: Idaho Secretary of State