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Jordan Ridge Family Medicine, LLC

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Company Details

Name: Jordan Ridge Family Medicine, LLC
Jurisdiction: Idaho
Legal type: Foreign Limited Liability Company
Status: Active-Existing
Date of registration: 17 Aug 2022 (3 years ago)
Financial Date End: 31 Aug 2025
Entity Number: 4863312
Place of Formation: DELAWARE
File Number: 836542
Principal Address: 6321 S REDWOOD RD SALT LAKE CITY, UT 84123

Agent

Name Role Address
C T CORPORATION SYSTEM Agent 1555 W SHORELINE DR, STE 100, BOISE, ID 83702

Manager

Name Role Address Appointed On
Ryan Chad Rappleye Manager 6321 S REDWOOD RD, SALT LAKE CITY, UT 84123 2024-07-11
David I. Cohen M.D. Manager 6321 S REDWOOD RD, SALT LAKE CITY, UT 84123 2024-07-11
Toni M Corbin Manager 4750 W OAKLEY BLVD, LAS VEGAS, NV 89102 2023-08-02
Chad E Bittner Manager 6321 S REDWOOD RD, SALT LAKE CITY, UT 84123 2023-08-02
Toni M Corbin Manager 6321 S REDWOOD RD, SALT LAKE CITY, UT 84123 2024-07-11
Joel Nichols Manager 6321 S REDWOOD RD, SALT LAKE CITY, UT 84123 2023-08-02

National Provider Identifier

NPI Number:
1578277950
Certification Date:
2023-01-10

Authorized Person:

Name:
EMILY CASTILLO
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
261QR0208X - Mobile Radiology Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
3852743970

Filing

Filing Name Filing Number Filing date
Annual Report 0005817129 2024-07-11
Annual Report 0005337135 2023-08-02
Registered Agent Name/Address Change (mass change) 0004897821 2022-09-12
Initial Filing 0004863312 2022-08-17

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Date of last update: 25 Mar 2025

Sources: Idaho Secretary of State