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FAMILY MEDICINE HUB, LLC

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Company Details

Name: FAMILY MEDICINE HUB, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 28 Feb 2018 (7 years ago)
Financial Date End: 28 Feb 2026
Entity Number: 593880
Place of Formation: IDAHO
File Number: 593880
ZIP code: 83404
County: Bonneville County
Principal Address: 2265 E SUNNYSIDE RD IDAHO FALLS, ID 83404
Mailing Address: DEREK VAN ORDEN STE 15B 2001 S WOODRUFF AVE IDAHO FALLS, ID 83404-6372

Agent

Name Role Address
DEREK VAN ORDEN Agent 2265 E SUNNYSIDE RD, IDAHO FALLS, ID 83404

Member

Name Role Address Appointed On Resigned On
Professional Services Hub Member 2265 E SUNNYSIDE RD, IDAHO FALLS, ID 83404 2021-02-03 No data
Sunny Raichart Member 4224 E 410 N, RIGBY, ID 83442 2024-02-14 No data
Victoria L Blair Member 180 FIELDSTREAM LN, IDAHO FALLS, ID 83404 2024-02-14 2024-02-14
John J Strobel Member 615 CASTLEROCK LANE, IDAHO FALLS, ID 83404 2024-02-14 2024-02-14

National Provider Identifier

NPI Number:
1134620107
Certification Date:
2024-11-12

Authorized Person:

Name:
SHELLY CAMERON
Role:
PRACTICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
2084190690

Filing

Filing Name Filing Number Filing date
Annual Report 0006155118 2025-03-10
Annual Report 0005603549 2024-02-14
Annual Report 0005051429 2023-01-04
Amendment to Certificate 0004619811 2022-02-22
Annual Report 0004619034 2022-02-21

USAspending Awards / Financial Assistance

Date:
2020-05-03
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:
31500.00
Total Face Value Of Loan:
31500.00

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Date of last update: 15 May 2025

Sources: Idaho Secretary of State