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Peak Family Medicine, LLC

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Company Details

Name: Peak Family Medicine, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 14 Mar 2019 (6 years ago)
Financial Date End: 31 Mar 2026
Entity Number: 3453966
Place of Formation: IDAHO
File Number: 658527
ZIP code: 83274
County: Bingham County
Principal Address: DANIEL BARNEY 325 EDWARDS AVE SHELLEY, ID 83274-1224
Mailing Address: DANIEL BARNEY STE A 1495 PARKWAY DR BLACKFOOT, ID 83221-1639

Manager

Name Role Address Appointed On Resigned On
Daniel J Barney Manager 1495 PARKWAY DR, BLACKFOOT, ID 83221 2021-02-03 2022-02-03
Daniel J Barney Manager 1495 PARKWAY DR, BLACKFOOT, ID 83221-1639 2024-05-07 No data

Member

Name Role Address Appointed On Resigned On
Max S Barney Member 1495 PARKWAY DR, BLACKFOOT, ID 83221-1639 2024-05-07 2024-05-07
Francis B Moser Member 1495 PARKWAY DR, BLACKFOOT, ID 83221-1639 2024-05-07 2024-05-07

Agent

Name Role Address
Daniel J Barney Agent 1495 PARKWAY DR, STE A, DANIEL BARNEY, BLACKFOOT, ID 83221-1639

National Provider Identifier

NPI Number:
1316601156
Certification Date:
2021-10-27

Authorized Person:

Name:
DANIEL J BARNEY
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
2086434235

Filing

Filing Name Filing Number Filing date
Annual Report 0006089249 2025-02-03
Annual Report 0005728278 2024-05-07
Statement of Change of Business Mailing Address 0005407489 2023-09-21
Dissolution/Revocation - Administrative 0005280714 2023-06-14
Application for Reinstatement 0005283173 2023-06-14

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Date of last update: 17 May 2025

Sources: Idaho Secretary of State