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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 2025
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 No data
Carl Vance President 3910 WASHINGTON PARKWAY, IDAHO FALLS, ID 83404 2020-07-31 2023-07-31

Secretary

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

Director

Name Role Address Appointed On
David R. Liljenquist Director 3910 WASHINGTON PARKWAY, IDAHO FALLS, ID 83404 2023-07-31
Carl Vance Director 3910 WASHINGTON PARKWAY, IDAHO FALLS, ID 83404 2023-07-31

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

Filing

Filing Name Filing Number Filing date
Annual Report 0005829500 2024-07-25
Annual Report 0005334835 2023-07-31
Restated Articles 0005186154 2023-04-07
Annual Report 0004835489 2022-07-31
Annual Report 0004362710 2021-08-01

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

Date Approved:
2020-04-07
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
774700
Current Approval Amount:
774700
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
781513.12

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Date of last update: 29 May 2025

Sources: Idaho Secretary of State