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SANDPOINT FAMILY MEDICINE, P.A.

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Company Details

Name: SANDPOINT FAMILY MEDICINE, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 07 Mar 1977 (48 years ago)
Financial Date End: 31 Mar 2026
Entity Number: 177083
Place of Formation: IDAHO
File Number: 177083
ZIP code: 83864
County: Bonner County
Mailing Address: 302 S 1ST AVE SANDPOINT, ID 83864-1258

Agent

Name Role Address
JEANETTE JONES Agent 302 SOUTH FIRST AVENUE, SANDPOINT, ID 83864

President

Name Role Address Appointed On
Mark Hernandez President 302 S 1ST AVE, SANDPOINT, ID 83864 2020-10-13

National Provider Identifier

NPI Number:
1740493832
Certification Date:
2020-02-27

Authorized Person:

Name:
DR. ROBERT EDWARD RUST JR.
Role:
PRESIDENT
Phone:

Taxonomy:

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

Contacts:

Fax:
2082635112

Filing

Filing Name Filing Number Filing date
Annual Report 0006139505 2025-03-03
Annual Report 0005630683 2024-03-04
Annual Report 0005098187 2023-02-06
Annual Report 0004657181 2022-03-12
Annual Report 0004172814 2021-02-11

USAspending Awards / Financial Assistance

Date:
2020-04-30
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:
174000.00
Total Face Value Of Loan:
174000.00
Date:
2020-04-30
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:
174000.00
Total Face Value Of Loan:
174000.00

Paycheck Protection Program

Jobs Reported:
12
Initial Approval Amount:
$174,000
Date Approved:
2020-04-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$174,000
Race:
Unanswered
Ethnicity:
Hispanic or Latino
Gender:
Male Owned
Veteran:
Veteran
Forgiveness Amount:
$176,359.73
Servicing Lender:
Celtic Bank Corporation
Use of Proceeds:
Payroll: $174,000

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Date of last update: 02 Aug 2025

Sources: Idaho Secretary of State