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PAGE FAMILY MEDICINE LLC

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Company Details

Name: PAGE FAMILY MEDICINE LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 02 Nov 2017 (8 years ago)
Financial Date End: 30 Nov 2023
Date dissolved: 01 Mar 2024
Entity Number: 578002
Place of Formation: IDAHO
File Number: 578002
ZIP code: 83301
County: Twin Falls County
Principal Address: 260 FALLS AVE STE C TWIN FALLS, ID 83301
Mailing Address: TODD RAMBUR STE B 1252 BENNETT AVE BURLEY, ID 83318-2664

Agent

Name Role Address
TODD RAMBUR Agent 1395 CODY COURT, TWIN FALLS, ID 83301

Manager

Name Role Address Appointed On
Todd Rambur Manager 1395 CODY COURT, TWIN FALLS, ID 83301 2020-10-03

National Provider Identifier

NPI Number:
1487151882

Authorized Person:

Name:
JEREMY B HAYMORE
Role:
MEDICAL DIRECTOR
Phone:

Taxonomy:

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

Contacts:

Fax:
7087368905
Fax:
2086470659

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0005619204 2024-03-01
Annual Report 0004930079 2022-10-03
Annual Report 0004433080 2021-10-03
Annual Report 0004020512 2020-10-03
Annual Report 0003633393 2019-10-01

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Date of last update: 14 May 2025

Sources: Idaho Secretary of State