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EAST TO WEST FAMILY MEDICINE, PLLC

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Company Details

Name: EAST TO WEST FAMILY MEDICINE, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 02 Apr 2018 (7 years ago)
Financial Date End: 30 Apr 2026
Entity Number: 599795
Place of Formation: IDAHO
File Number: 599795
ZIP code: 83616
County: Ada County
Principal Address: 1552 W WINDBREAKER LN EAGLE, ID 83616
Mailing Address: STE 110 3224 N MERIDIAN RD MERIDIAN, ID 83646-6232

Agent

Name Role Address
Leanna Moser Agent 3224 N MERIDIAN RD, STE 110, MERIDIAN, ID 83646

Manager

Name Role Address Appointed On
LEANNA MOSER Manager 3224 N MERIDIAN RD, MERIDIAN, ID 83646 2021-10-21

National Provider Identifier

NPI Number:
1801393616

Authorized Person:

Name:
KATHLEEN LEWIS
Role:
MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
No
Selected Taxonomy:
363LA2100X - Acute Care Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LA2200X - Adult Health Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LP0200X - Pediatric Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363LP2300X - Primary Care Nurse Practitioner
Is Primary:
No

Contacts:

Fax:
2083951093

Filing

Filing Name Filing Number Filing date
Annual Report 0006232288 2025-05-04
Annual Report 0005718946 2024-05-03
Change of Registered Office/Agent/Both (by Entity) 0005377698 2023-09-01
Annual Report 0005298144 2023-06-30
Annual Report 0004630658 2022-03-03

USAspending Awards / Financial Assistance

Date:
2023-10-04
Awarding Agency Name:
Small Business Administration
Transaction Description:
AWARDTYPE: GUARANTEED/INSURED LOANS ACTIVITIES TO BE PERFORMED: ASSIST SMALL BUSINESS CONCERNS BY PROVIDING LONG-TERM, FIXED-RATE FINANCING FOR FIXED ASSETS THROUGH THE SALE OF DEBENTURES TO PRIVATE INVESTORS. DELIVERABLES: LOANS EXPECTED OUTCOMES: ACQUISITION OF LAND AND BUILDINGS; THE CONSTRUCTION, EXPANSION, RENOVATION OR MODERNIZATION OF BUILDINGS; OR THE ACQUISITION AND/OR INSTALLATION OF MACHINERY AND EQUIPMENT. INTENDED BENEFICIARIES: SMALL BUSINESS SUBRECIPIENT ACTIVITIES: NA
Obligated Amount:
0.00
Face Value Of Loan:
-33000.00
Total Face Value Of Loan:
464000.00
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:
41576.00
Total Face Value Of Loan:
41576.00

Paycheck Protection Program

Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
41576
Current Approval Amount:
41576
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
42153.51

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Date of last update: 15 May 2025

Sources: Idaho Secretary of State