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Wendell Family Medicine, LLC

Company Details

Name: Wendell Family Medicine, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 05 Mar 2025 (3 months ago)
Financial Date End: 31 Mar 2026
Entity Number: 6142637
Place of Formation: IDAHO
File Number: 981518
ZIP code: 83355
County: Gooding County
Principal Address: BRITTNI MCLAM 410 N IDAHO STREET WENDELL, ID 83355
Mailing Address: BRITTNI MCLAM PO BOX 505 WENDELL, ID 83355-0505

Agent

Name Role Address
Brittni McLam Agent 410 N IDAHO ST, WENDELL, ID 83355-5038

National Provider Identifier

NPI Number:
1093513731
Certification Date:
2025-05-07

Authorized Person:

Name:
DR. BRITTNI MCLAM
Role:
PHYSICIAN OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Initial Filing 0006142637 2025-03-05

Date of last update: 24 May 2025

Sources: Idaho Secretary of State