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EMERALD SURGICAL CENTER, L.L.C.

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Company Details

Name: EMERALD SURGICAL CENTER, L.L.C.
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 01 Nov 1995 (30 years ago)
Financial Date End: 30 Nov 2025
Entity Number: 11599
Place of Formation: IDAHO
File Number: 11599
ZIP code: 83704
County: Ada County
Principal Address: 811 N LIBERTY BOISE, ID 83704
Mailing Address: 811 N LIBERTY ST BOISE, ID 83704-8703

Agent

Name Role Address
KERRY ANDERSON Agent 811 N LIBERTY, BOISE, ID 83704

Manager

Name Role Address Appointed On Resigned On
kerry Anderson Manager 811 N. LIBERTY ST, BOISE, ID 83704 2021-02-04 2023-12-04
Kerry Anderson Manager 811 N. LIBERTY ST, BOISE, ID 83704 2023-12-04 No data
Ron Kristensen Manager 811 N LIBERTY ST, BOISE, ID 83704 2023-12-04 2023-12-04

National Provider Identifier

NPI Number:
1376607309

Authorized Person:

Name:
DR. KERRY W. ANDERSON
Role:
MGN. PARTNER
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
820485376
Plan Year:
2023
Number Of Participants:
11
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
14
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
18
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
16
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
15
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0005921232 2024-10-03
Annual Report 0005497583 2023-12-04
Annual Report 0004986492 2022-11-08
Annual Report 0004528485 2021-12-14
Dissolution/Revocation - Administrative 0004160670 2021-02-04

Paycheck Protection Program

Jobs Reported:
5
Initial Approval Amount:
$62,900
Date Approved:
2020-04-07
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$62,900
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$63,298.08
Servicing Lender:
Washington Trust Bank
Use of Proceeds:
Payroll: $62,900

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Date of last update: 28 Jul 2025

Sources: Idaho Secretary of State