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ROCKY MOUNTAIN DIABETES AND OSTEOPOROSIS CENTER PA

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Company Details

Name: ROCKY MOUNTAIN DIABETES AND OSTEOPOROSIS CENTER PA
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 29 Jul 1981 (44 years ago)
Financial Date End: 31 Jul 2026
Entity Number: 213092
Place of Formation: IDAHO
File Number: 213092
ZIP code: 83402
County: Bonneville County
Mailing Address: 955 PIER VIEW DR IDAHO FALLS, ID 83402-4918

Agent

Name Role Address
GUARDIAN REGISTERED AGENTS LLC Agent 955 PIER VIEW DR, IDAHO FALLS, ID 83402

President

Name Role Address Appointed On Resigned On
David R. Liljenquist President 3910 WASHINGTON PARKWAY, IDAHO FALLS, ID 83404 2023-07-31 2024-07-25
Carl Vance President 3910 WASHINGTON PARKWAY, IDAHO FALLS, ID 83404 2020-07-31 2023-07-31

Secretary

Name Role Address Appointed On Resigned On
Von Croft Secretary 3910 WASHINGTON PARKWAY, IDAHO FALLS, ID 83404 2023-07-31 2024-07-25

Director

Name Role Address Appointed On Resigned On
David R. Liljenquist Director 3910 WASHINGTON PARKWAY, IDAHO FALLS, ID 83404 2023-07-31 2024-07-25
Carl Vance Director 3910 WASHINGTON PARKWAY, IDAHO FALLS, ID 83404 2023-07-31 No data

Incorporator

Name Role Address Appointed On
JOHN E LILJENQUIST Incorporator 3001 GUSTAFSON CIRCLE, IDAHO FALLS, ID 83402 2023-04-07

National Provider Identifier

NPI Number:
1952782914

Authorized Person:

Name:
JANET M HOOVER
Role:
BILLING MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
133V00000X - Registered Dietitian
Is Primary:
Yes

Contacts:

Fax:
2085230611

Form 5500 Series

Employer Identification Number (EIN):
820366217
Plan Year:
2023
Number Of Participants:
105
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
114
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
99
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
103
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
103
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006296882 2025-06-03
Annual Report 0005829500 2024-07-25
Annual Report 0005334835 2023-07-31
Restated Articles 0005186154 2023-04-07
Annual Report 0004835489 2022-07-31

USAspending Awards / Financial Assistance

Date:
2020-04-08
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:
774700.00
Total Face Value Of Loan:
774700.00

Paycheck Protection Program

Jobs Reported:
59
Initial Approval Amount:
$774,700
Date Approved:
2020-04-07
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$774,700
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$781,513.12
Servicing Lender:
Idaho Central CU
Use of Proceeds:
Payroll: $581,025
Utilities: $96,837.5
Rent: $96,837.5

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Date of last update: 17 Jul 2025

Sources: Idaho Secretary of State