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WEST VALLEY MEDICAL ASSOCIATES INC

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Company Details

Name: WEST VALLEY MEDICAL ASSOCIATES INC
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Active-Good Standing
Date of registration: 16 Nov 2017 (8 years ago)
Financial Date End: 30 Nov 2025
Entity Number: 633222
Place of Formation: IDAHO
File Number: 633222
Mailing Address: PO BOX 45789 BOISE, ID 83711-5789

Agent

Name Role Address
RICHARD AUGUSTUS MD Agent 1717 ARLINGTON, CALDWELL, ID 83605

President

Name Role Address Appointed On
Richard Augustus MD President 3080 E GENTRY WAY, MERIDIAN, ID 83642-3060 2020-10-06
Richard Augustus President 3080 E GENTRY WAY, MERIDIAN, ID 83642-3060 2021-10-04

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
CAP3BGVMUS63
UEI Expiration Date:
2025-10-23

Business Information

Activation Date:
2024-10-25
Initial Registration Date:
2024-10-08

National Provider Identifier

NPI Number:
1164936720
Certification Date:
2025-03-26

Authorized Person:

Name:
RICHARD A AUGUSTUS
Role:
MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
207R00000X - Internal Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2087792898
Fax:
2089473465

Form 5500 Series

Employer Identification Number (EIN):
823448311
Plan Year:
2023
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
10
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
6
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0005962640 2024-11-04
Change of Registered Office/Agent/Both (by Entity) 0005506228 2023-12-08
Statement of Change of Business Mailing Address 0005503089 2023-12-06
Annual Report 0005457690 2023-11-03
Application for Reinstatement 0005130421 2023-03-02

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:
125000.00
Total Face Value Of Loan:
125000.00

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Date of last update: 16 May 2025

Sources: Idaho Secretary of State