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EXCELLENCE IN MEDICINE, INC.

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Company Details

Name: EXCELLENCE IN MEDICINE, INC.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 28 Sep 2015 (10 years ago)
Financial Date End: 30 Sep 2025
Entity Number: 623092
Place of Formation: IDAHO
File Number: 623092
ZIP code: 83404
County: Bonneville County
Mailing Address: NICHOLAS BLYTHE 2960 CORTEZ AVE IDAHO FALLS, ID 83404-7554

Agent

Name Role Address
NATHAN OLSEN Agent 485 E STREET, IDAHO FALLS, ID 83402

President

Name Role Address Appointed On
Bradford Talcott President 2960 CORTEZ AVE, IDAHO FALLS, ID 83404 2020-10-13

Vice President

Name Role Address Appointed On
Jennifer J Talcott Vice President 2960 CORTEZ AVE, IDAHO FALLS, ID 83404 2023-08-03

National Provider Identifier

NPI Number:
1891349924

Authorized Person:

Name:
SHANA D ERIKSON
Role:
GENERAL MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
332BX2000X - Oxygen Equipment & Supplies (DME)
Is Primary:
Yes

Contacts:

Fax:
2085228942

Filing

Filing Name Filing Number Filing date
Annual Report 0005859634 2024-08-13
Annual Report 0005344515 2023-08-03
Annual Report 0004884578 2022-09-06
Annual Report 0004369001 2021-08-04
Annual Report 0004030753 2020-10-13

USAspending Awards / Financial Assistance

Date:
2020-04-28
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:
62200.00
Total Face Value Of Loan:
62200.00

Paycheck Protection Program

Jobs Reported:
8
Initial Approval Amount:
$62,200
Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$62,200
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Veteran
Forgiveness Amount:
$62,557.86
Servicing Lender:
Zions Bank, A Division of
Use of Proceeds:
Payroll: $62,200

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Date of last update: 05 Jul 2025

Sources: Idaho Secretary of State