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GREGORY M FORD MD LLC

Company Details

Name: GREGORY M FORD MD LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 30 May 2014 (11 years ago)
Financial Date End: 31 May 2026
Entity Number: 422289
Place of Formation: IDAHO
File Number: 422289
ZIP code: 83201
County: Bannock County
Principal Address: 950 HOSPITAL WAY, SUITE A POCATELLO, ID 83201
Mailing Address: STE A 950 HOSPITAL WAY POCATELLO, ID 83201-2762

Agent

Name Role Address
DANIEL PACKARD Agent 1000 RIVERWALK DR, STE 100, IDAHO FALLS, ID 83402

Manager

Name Role Address Appointed On
Gregory FOrd Manager 950 HOSPITAL WAY, POCATELLO, ID 83201-2762 2020-07-02

National Provider Identifier

NPI Number:
1477965952

Authorized Person:

Name:
DR. GREGORY M FORD
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207XX0005X - Sports Medicine (Orthopaedic Surgery) Physician
Is Primary:
Yes

Contacts:

Fax:
2087126868

Filing

Filing Name Filing Number Filing date
Annual Report 0006179867 2025-04-01
Annual Report 0005664560 2024-04-01
Annual Report 0005184101 2023-04-06
Annual Report 0004680897 2022-04-01
Amendment to Certificate 0004538372 2021-12-22

USAspending Awards / Financial Assistance

Date:
2020-04-29
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:
20800.00
Total Face Value Of Loan:
20800.00

Date of last update: 10 May 2025

Sources: Idaho Secretary of State