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EAST FALLS FAMILY MEDICINE, LLC

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Company Details

Name: EAST FALLS FAMILY MEDICINE, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 10 Jul 2012 (13 years ago)
Financial Date End: 31 Jul 2025
Entity Number: 354998
Place of Formation: IDAHO
File Number: 354998
Principal Address: ONE PARK PLAZA NASHVILLE, TN 37203
Mailing Address: 1 PARK PLZ NASHVILLE, TN 37203-6527

Agent

Name Role Address
C T CORPORATION SYSTEM Agent 10020 W FAIRVIEW AVE, STE 104, BOISE, ID 83704

Manager

Name Role Address Appointed On Resigned On
John M. Franck II Manager ONE PARK PLAZA, NASHVILLE, TN 37203 2023-07-07 No data
Christopher F. Wyatt Manager ONE PARK PLAZA, NASHVILLE, TN 37203 2023-07-07 No data
Michael S. Cuffe Manager 2000 HEALTHPARK DRIVE, BRENTWOOD, TN 37027 2023-07-07 No data
William B. Rutherford Manager ONE PARK PLAZA, NASHVILLE, TN 37203 2021-06-02 2023-07-07

National Provider Identifier

NPI Number:
1619221405
Certification Date:
2023-01-02

Authorized Person:

Name:
LOUIS JOSEPH
Role:
VP
Phone:

Taxonomy:

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

Contacts:

Fax:
8663461426
Fax:
2085354569

Filing

Filing Name Filing Number Filing date
Registered Agent Name/Address Change (mass change) 0006271763 2025-05-27
Annual Report 0005824814 2024-07-19
Annual Report 0005309260 2023-07-07
Registered Agent Name/Address Change (mass change) 0004894776 2022-09-12
Annual Report 0004826592 2022-07-19

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Date of last update: 02 Jun 2025

Sources: Idaho Secretary of State