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GOODING FAMILY PHYSICIANS, PLLC

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Company Details

Name: GOODING FAMILY PHYSICIANS, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 08 Sep 2003 (22 years ago)
Financial Date End: 30 Sep 2019
Date dissolved: 27 Dec 2019
Entity Number: 90807
Place of Formation: IDAHO
File Number: 90807
ZIP code: 83330
County: Gooding County
Principal Address: 267 N CANYON DR GOODING, ID 83330

Agent

Name Role Address
IAN KUNZ Agent 267 N CANYON DR., GOODING, ID 83330

National Provider Identifier

NPI Number:
1396804415

Authorized Person:

Name:
MRS. TRUDY MCGINNIS
Role:
BILLING
Phone:

Taxonomy:

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

Contacts:

Fax:
2089344442

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0003716416 2019-12-27
Statement of Dissolution 0003683150 2019-11-23
Annual Report 0001258877 2018-08-07
Annual Report 0001258875 2017-07-24
Annual Report 0001258876 2017-07-24

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Date of last update: 26 May 2025

Sources: Idaho Secretary of State