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STORY FAMILY MEDICINE, INC.

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Company Details

Name: STORY FAMILY MEDICINE, INC.
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Active-Good Standing
Date of registration: 13 Nov 2017 (8 years ago)
Financial Date End: 30 Nov 2025
Entity Number: 633263
Place of Formation: IDAHO
File Number: 633263
ZIP code: 83843
County: Latah County
Mailing Address: STE 4 1350 TROY ROAD MOSCOW, ID 83843-3263

Agent

Name Role Address
RODNEY R STORY Agent 1350 TROY RD, STE 4, MOSCOW, ID 83843

Vice President

Name Role Address Appointed On
Jennifer Story Vice President 906 W C ST, MOSCOW, ID 83843-2111 2020-11-03

President

Name Role Address Appointed On Resigned On
Rodney Story President 906 W C ST, MOSCOW, ID 83843-2111 2023-10-03 2023-10-03

National Provider Identifier

NPI Number:
1750998126
Certification Date:
2020-09-25

Authorized Person:

Name:
DR. RODNEY R STORY
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2083016030

Filing

Filing Name Filing Number Filing date
Annual Report 0005920859 2024-10-03
Annual Report 0005417146 2023-10-03
Annual Report 0004937106 2022-10-05
Annual Report 0004502517 2021-11-19
Annual Report 0004046985 2020-11-03

USAspending Awards / Financial Assistance

Date:
2020-04-15
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:
27100.00
Total Face Value Of Loan:
27100.00

Paycheck Protection Program

Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
27100
Current Approval Amount:
27100
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
27459.35

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Date of last update: 21 Mar 2025

Sources: Idaho Secretary of State