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FAMILY CARE CLINIC, LLC

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Company Details

Name: FAMILY CARE CLINIC, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 16 Jul 2013 (12 years ago)
Financial Date End: 31 Jul 2026
Entity Number: 389538
Place of Formation: IDAHO
File Number: 389538
ZIP code: 83704
County: Ada County
Principal Address: 6933 W. EMERALD SUITE B BOISE, ID 83704
Mailing Address: STE B 6933 W EMERALD ST BOISE, ID 83704-8616

Agent

Name Role Address
KELLIE HUMPHERYS Agent 6933 W. EMERALD, SUITE B, BOISE, ID 83704

Manager

Name Role Address Appointed On
All Seasons Family Care Clinic Manager 6933 W EMERALD ST, BOISE, ID 83704-8616 2020-07-09

National Provider Identifier

NPI Number:
1811329592

Authorized Person:

Name:
LAURIE MILLER
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
261QM1300X - Multi-Specialty Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2083211082

Filing

Filing Name Filing Number Filing date
Annual Report 0006296489 2025-06-03
Annual Report 0005764649 2024-06-07
Annual Report 0005352008 2023-08-04
Annual Report 0004822513 2022-07-14
Annual Report 0004308173 2021-06-07

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Date of last update: 20 Jul 2025

Sources: Idaho Secretary of State