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FAMILY FIRST MEDICAL CENTER PLLC

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Company Details

Name: FAMILY FIRST MEDICAL CENTER PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 04 Jun 2003 (22 years ago)
Financial Date End: 30 Jun 2026
Entity Number: 86949
Place of Formation: IDAHO
File Number: 86949
ZIP code: 83404
County: Bonneville County
Principal Address: 2105 CORONADO ST IDAHO FALLS, ID 83404
Mailing Address: 955 PIER VIEW DR IDAHO FALLS, ID 83402-4918

Agent

Name Role Address
GUARDIAN REGISTERED AGENTS LLC Agent 955 PIER VIEW DR, IDAHO FALLS, ID 83402

Member

Name Role Address Appointed On Resigned On
Flint R. Packer DO Member 3820 CRESTWOOD LN, IDAHO FALLS, ID 83404 2020-06-30 No data
Boyd K. Southwick Member 3820 CRESTWOOD LN, IDAHO FALLS, ID 83404 2023-06-29 2024-06-26
Flint R. Packer Member 3820 CRESTWOOD LN, IDAHO FALLS, ID 83404 2021-06-24 No data

National Provider Identifier

NPI Number:
1033314273

Authorized Person:

Name:
DR. FLINT R PACKER
Role:
OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
2085521783

Form 5500 Series

Employer Identification Number (EIN):
810615321
Plan Year:
2023
Number Of Participants:
52
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
47
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
42
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
42
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
44
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006322182 2025-06-17
Annual Report 0005789261 2024-06-26
Annual Report 0005296406 2023-06-29
Annual Report 0004797008 2022-06-29
Annual Report 0004324403 2021-06-24

USAspending Awards / Financial Assistance

Date:
2020-05-03
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:
397042.00
Total Face Value Of Loan:
397042.00

Paycheck Protection Program

Jobs Reported:
45
Initial Approval Amount:
$397,042
Date Approved:
2020-05-01
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$397,042
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$399,369.11
Servicing Lender:
U.S. Bank, National Association
Use of Proceeds:
Payroll: $397,042

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Date of last update: 23 Jun 2025

Sources: Idaho Secretary of State