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Associates in Family Practice, Inc.

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Company Details

Name: Associates in Family Practice, Inc.
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Active-Good Standing
Date of registration: 27 Jun 1997 (28 years ago)
Financial Date End: 30 Jun 2025
Entity Number: 368448
Place of Formation: IDAHO
File Number: 368448
ZIP code: 83330
County: Gooding County
Mailing Address: PO BOX 447 GOODING, ID 83330-0447

President

Name Role Address Appointed On
F John Gies President PO BOX 447, GOODING, ID 83330 2021-05-04
Robert Brazell President PO BOX 447, GOODING, ID 83330-0447 2024-11-26

Agent

Name Role Address
Christopher Hayes Agent 2965 E TARPON DR, STE 110, MERIDIAN, ID 83642-9007

National Provider Identifier

NPI Number:
1831526854
Certification Date:
2025-01-17

Authorized Person:

Name:
DR. STEVEN L BERRY
Role:
CMO
Phone:

Taxonomy:

Selected Taxonomy:
363AM0700X - Medical Physician Assistant
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Change of Registered Office/Agent/Both (by Entity) 0006172525 2025-04-07
Annual Report Amendment 0005994745 2024-11-26
Articles of Amendment 0005989971 2024-11-20
Annual Report 0005718689 2024-05-03
Annual Report 0005222734 2023-05-04

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Date of last update: 03 Jun 2025

Sources: Idaho Secretary of State