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UPPER VALLEY ORTHOPEDICS PLLC

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Company Details

Name: UPPER VALLEY ORTHOPEDICS PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 08 Sep 1998 (27 years ago)
Financial Date End: 30 Sep 2025
Entity Number: 36162
Place of Formation: IDAHO
File Number: 36162
ZIP code: 83440
County: Madison County
Principal Address: 360 EAST MAIN REXBURG, ID 83440
Mailing Address: SHAUNA DUNN 360 E MAIN ST REXBURG, ID 83440-2015

Agent

Name Role Address
MICHAEL J LARSON Agent 360 E MAIN, REXBURG, ID 83440

Member

Name Role Address Appointed On
Kevin M Lee Member 360 EAST MAIN, REXBURG, ID 83440 2021-08-03
Kevin M Lee MD Member 360 EAST MAIN, REXBURG, ID 83440 2020-08-03

National Provider Identifier

NPI Number:
1184799298

Authorized Person:

Name:
DR. MICHAEL J LARSON
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
2083568023

Form 5500 Series

Employer Identification Number (EIN):
820505476
Plan Year:
2023
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2011
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2010
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2009
Number Of Participants:
7
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0005840956 2024-08-05
Annual Report 0005351578 2023-08-04
Annual Report 0004838702 2022-08-03
Annual Report 0004365010 2021-08-03
Annual Report 0003952087 2020-08-03

USAspending Awards / Financial Assistance

Date:
2020-04-07
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:
118500.00
Total Face Value Of Loan:
118500.00

Paycheck Protection Program

Date Approved:
2020-04-06
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
118500
Current Approval Amount:
118500
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
119353.85

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Date of last update: 25 May 2025

Sources: Idaho Secretary of State