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Reach Primary Care LLC

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Company Details

Name: Reach Primary Care LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 24 Jun 2021 (4 years ago)
Financial Date End: 30 Jun 2026
Entity Number: 4323961
Place of Formation: IDAHO
File Number: 769704
ZIP code: 83616
County: Ada County
Principal Address: 515 FITNESS PL STE 120 EAGLE, ID 83616
Mailing Address: STE 120 515 S FITNESS PL EAGLE, ID 83616-6552

Agent

Name Role Address
Kyle Kunde Agent 515 FITNESS PL STE 120, EAGLE, ID 83616

Manager

Name Role Address Appointed On Resigned On
Alan Nelson Manager 14023 W STOCKWELL ST, BOISE, ID 83713 2024-05-01 2024-05-01
Thao Nelson Manager 14023 W STOCKWELL ST, BOISE, ID 83713 2022-05-03 No data

National Provider Identifier

NPI Number:
1740946870
Certification Date:
2021-10-25

Authorized Person:

Name:
THAO T NELSON
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QC1500X - Community Health Clinic/Center
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006286448 2025-05-28
Annual Report 0005709175 2024-05-01
Annual Report 0005268193 2023-06-05
Annual Report 0004724048 2022-05-03
Initial Filing 0004323961 2021-06-24

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Date of last update: 08 Jul 2025

Sources: Idaho Secretary of State