| Name: | Granite Health Family Medicine PLLC |
| Jurisdiction: | Idaho |
| Legal type: | Limited Liability Company (D) |
| Status: | Active-Existing |
| Date of registration: | 10 Nov 2023 (a year ago) |
| Financial Date End: | 30 Nov 2025 |
| Entity Number: | 5475562 |
| Place of Formation: | IDAHO |
| File Number: | 906993 |
| ZIP code: | 83440 |
| County: | Madison County |
| Principal Address: | GRANITE HEALTHCARE, PLLC 163 N 1900 E REXBURG, ID 83440 |
| Mailing Address: | 163 N 1900 E REXBURG, ID 83440-2903 |
| Name | Role | Address |
|---|---|---|
| GRANITE HEALTHCARE, PLLC | Agent | 163 N 1900 E, REXBURG, ID 83440 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| Granite Healthcare, PLLC | Manager | 163 N 1900 E, REXBURG, ID 83440 | 2024-11-08 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0005974750 | 2024-11-08 |
| Initial Filing | 0005475562 | 2023-11-10 |
Date of last update: 23 Nov 2024
Sources: Idaho Secretary of State
