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BOISE FAMILY MEDICINE, LLC

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Company Details

Name: BOISE FAMILY MEDICINE, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 20 Sep 2016 (9 years ago)
Financial Date End: 30 Sep 2025
Entity Number: 520378
Place of Formation: IDAHO
File Number: 520378
ZIP code: 83709
County: Ada County
Principal Address: 10798 W OVERLAND RD BOISE, ID 83709
Mailing Address: BRIAN BRUMPTON 10798 W OVERLAND RD BOISE, ID 83709-1329

Agent

Name Role Address
Brian Brumpton Agent 10798 W OVERLAND RD, BOISE, ID 83709

Member

Name Role Address Appointed On
Tara Brumpton Member 10798 W OVERLAND RD, BOISE, ID 83709 2023-08-03

Manager

Name Role Address Appointed On
Brian Brumpton Manager 10798 W OVERLAND RD, BOISE, ID 83709 2020-09-03

U.S. Small Business Administration Profile

Phone Number:
Fax Number:
208-322-4691
Contact Person:
BRIAN BRUMPTON
Ownership and Self-Certifications:
Self-Certified Small Disadvantaged Business, Women-Owned Small Business, Woman Owned
User ID:
P2785009

Unique Entity ID

Unique Entity ID:
KMTCULGJQC35
CAGE Code:
87ZR3
UEI Expiration Date:
2025-09-06

Business Information

Activation Date:
2024-09-09
Initial Registration Date:
2018-12-20

National Provider Identifier

NPI Number:
1356883326
Certification Date:
2023-04-19

Authorized Person:

Name:
BRIAN BRUMPTON
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2083224691

Form 5500 Series

Employer Identification Number (EIN):
814028963
Plan Year:
2024
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
0
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0005837257 2024-08-03
Annual Report 0005343974 2023-08-03
Annual Report 0004946354 2022-10-07
Annual Report 0004371157 2021-08-05
Annual Report 0003993403 2020-09-03

USAspending Awards / Financial Assistance

Date:
2020-05-16
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
150000.00
Total Face Value Of Loan:
150000.00
Date:
2020-04-14
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:
126200.00
Total Face Value Of Loan:
126200.00
Date:
2020-04-14
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Paycheck Protection Program

Jobs Reported:
12
Initial Approval Amount:
$126,200
Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$126,200
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$126,922.91
Servicing Lender:
Idaho Central CU
Use of Proceeds:
Payroll: $94,650
Utilities: $15,775
Rent: $15,775

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Date of last update: 03 Jul 2025

Sources: Idaho Secretary of State