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IDAHO SPORTS MEDICINE INSTITUTE

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Company Details

Name: IDAHO SPORTS MEDICINE INSTITUTE
Jurisdiction: Idaho
Legal type: Assumed Business Name
Status: Active-Current
Date of registration: 23 Oct 2000 (25 years ago)
Entity Number: 132105
Place of Formation: IDAHO
File Number: 0000132105
ZIP code: 83706
County: Ada County
Mailing Address: 1188 UNIVERSITY DR BOISE, ID 83706

National Provider Identifier

NPI Number:
1700180445

Authorized Person:

Name:
ROY TWEEDLE
Role:
BUSINESS MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
261QP2000X - Physical Therapy Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2083459514

Filing

Filing Name Filing Number Filing date
Amendment of Certificate of Assumed Business Name 0000734088 2003-10-22
Initial Filing 0000132105 2000-10-23

USAspending Awards / Financial Assistance

Date:
2020-04-07
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:
446327.00
Total Face Value Of Loan:
446327.00

Paycheck Protection Program

Date Approved:
2020-04-06
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
446327
Current Approval Amount:
446327
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
450509.02

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Date of last update: 23 Sep 2024

Sources: Idaho Secretary of State