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SANDPOINT FAMILY HEALTH CENTER, PLLC

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Company Details

Name: SANDPOINT FAMILY HEALTH CENTER, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 03 Jun 1996 (29 years ago)
Financial Date End: 30 Jun 2026
Entity Number: 16676
Place of Formation: IDAHO
File Number: 16676
ZIP code: 83864
County: Bonner County
Principal Address: 606 N THIRD AVE STE 101 SANDPOINT, ID 83864
Mailing Address: STE 101 606 N THIRD AVE SANDPOINT, ID 83864-1594

Agent

Name Role Address
SCOTT R DUNN, MD Agent 606 N THIRD AVE SUITE 101, SANDPOINT, ID 83864

Manager

Name Role Address Appointed On
Scott Dunn Manager 606 N 3RD AVE STE 101, SANDPOINT, ID 83864 2021-06-15

Member

Name Role Address Appointed On Resigned On
Hannah Raynor Member 606 N 3RD AVE STE 101, SANDPOINT, ID 83864 2024-05-06 2024-05-06
Daniel Meulenberg Member 606 N 3RD AVE STE 101, SANDPOINT, ID 83864 2024-05-06 2024-05-06
Zachary Halversen Member 606 N 3RD AVE STE 101, SANDPOINT, ID 83864 2024-05-06 2024-05-06

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

CAGE Code:
7KQG7
UEI Expiration Date:
2020-10-09

Business Information

Doing Business As:
(AFF: BONNER GENERAL HOSPITAL INC)
Activation Date:
2019-10-10
Initial Registration Date:
2016-01-19

National Provider Identifier

NPI Number:
1609935295

Authorized Person:

Name:
THOMAS L. LAWRENCE
Role:
ASSOCIATE
Phone:

Taxonomy:

Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2082637812

Filing

Filing Name Filing Number Filing date
Annual Report 0006244528 2025-05-07
Annual Report 0005724441 2024-05-06
Amendment to Certificate 0005368995 2023-08-22
Annual Report 0005224155 2023-05-04
Annual Report 0004773994 2022-06-07

USAspending Awards / Financial Assistance

Date:
2020-04-28
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:
249835.00
Total Face Value Of Loan:
315164.67

Paycheck Protection Program

Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
249835
Current Approval Amount:
315164.67
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
318549.45

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Date of last update: 24 May 2025

Sources: Idaho Secretary of State