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BLACKFOOT HEALTH & WELLNESS CENTER, LLC

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Company Details

Name: BLACKFOOT HEALTH & WELLNESS CENTER, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 02 Apr 2018 (7 years ago)
Financial Date End: 30 Apr 2024
Date dissolved: 06 Jul 2024
Entity Number: 602338
Place of Formation: IDAHO
File Number: 602338
ZIP code: 83221
County: Bingham County
Principal Address: 247 KBLI RD BLACKFOOT, ID 83221
Mailing Address: 105 W MAIN ST REXBURG, ID 83440-1826

Agent

Name Role Address
PH CORPORATE SERVICES, LLC Agent 4593 S 2400 W, WESTON, ID 83286

Manager

Name Role Address Appointed On
LELAND PHELPS Manager 247 KBLI RD., BLACKFOOT, ID 83221 2021-04-08

National Provider Identifier

NPI Number:
1417711284
Certification Date:
2024-02-12

Authorized Person:

Name:
DR. LELAND PHELPS
Role:
OWNER/DOCTOR
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0005804972 2024-07-06
Statement of Change of Business Mailing Address 0005584096 2024-02-05
Annual Report 0005208689 2023-04-22
Registered Agent Name/Address Change (mass change) 0005061880 2023-01-11
Annual Report 0004632742 2022-03-03

USAspending Awards / Financial Assistance

Date:
2020-07-01
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
1000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-06-17
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:
26200.00
Total Face Value Of Loan:
26200.00

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Date of last update: 15 May 2025

Sources: Idaho Secretary of State