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PETRIE FAMILY ENTERPRISES, PC

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Company Details

Name: PETRIE FAMILY ENTERPRISES, PC
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 28 Aug 2015 (10 years ago)
Financial Date End: 31 Aug 2025
Entity Number: 472841
Place of Formation: IDAHO
File Number: 472841
ZIP code: 83226
County: Custer County
Mailing Address: 431 E MAIN AVE # 994 CHALLIS, ID 83226

Agent

Name Role Address
JOSEPH W PETRIE, PAC Agent 619 WILSON LN, JOSEPH PETRIE, CHALLIS, ID 83226

Incorporator

Name Role Address Appointed On
Joseph W Petrie Incorporator 619 WILSON LN, CHALLIS, ID 83226 2021-12-15

Manager

Name Role Address Appointed On Resigned On
Joseph W Petrie Manager 619 WILSON LN, CHALLIS, ID 83226 2020-07-03 2021-12-15

President

Name Role Address Appointed On
BreeAnn M Peatrie President 619 WILSON LN, CHALLIS, ID 83226 2023-07-03

Vice President

Name Role Address Appointed On
Joseph W Petrie Vice President 619 WILSON LN, CHALLIS, ID 83226 2022-07-05

National Provider Identifier

NPI Number:
1396290953
Certification Date:
2024-06-26

Authorized Person:

Name:
JOSEPH PETRIE
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
8338391195

Filing

Filing Name Filing Number Filing date
Annual Report 0005831218 2024-07-29
Annual Report 0005300354 2023-07-03
Annual Report 0004802566 2022-07-05
Statement of Change of Business Mailing Address 0004758175 2022-05-25
Statement of Conversion 0004519532 2021-12-15

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Date of last update: 11 May 2025

Sources: Idaho Secretary of State