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FOOT & ANKLE MEDICAL CENTER OF NAMPA, P.A.

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Company Details

Name: FOOT & ANKLE MEDICAL CENTER OF NAMPA, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 29 Nov 1983 (42 years ago)
Financial Date End: 30 Nov 2025
Entity Number: 233602
Place of Formation: IDAHO
File Number: 233602
ZIP code: 83686
County: Canyon County
Mailing Address: STE A 203 12TH AVE RD NAMPA, ID 83686-5012

Agent

Name Role Address
TROY FOWLER DPM Agent 203 12TH AVE RD STE A, NAMPA, ID 83686

Secretary

Name Role Address Appointed On Resigned On
Troy Fowler Secretary 203 12TH AVE RD, NAMPA, ID 83686-5012 2023-12-12 2023-12-12

Vice President

Name Role Address Appointed On Resigned On
Troy Fowler Vice President 203 12TH AVE RD, NAMPA, ID 83686-5012 2023-12-12 2023-12-12

President

Name Role Address Appointed On Resigned On
Troy Fowler President 203 12TH AVE RD, NAMPA, ID 83686-5012 2023-12-12 2023-12-12

Director

Name Role Address Appointed On
Troy Fowler Director 203 12TH AVE RD, NAMPA, ID 83686-5012 2023-12-12

National Provider Identifier

NPI Number:
1033235783

Authorized Person:

Name:
DR. PHILLIP NEIL BURK
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
No
Selected Taxonomy:
213ES0103X - Foot & Ankle Surgery Podiatrist
Is Primary:
Yes

Contacts:

Fax:
2084663554

Filing

Filing Name Filing Number Filing date
Annual Report 0005933785 2024-10-08
Annual Report 0005508587 2023-12-12
Annual Report 0003686436 2019-11-26
Annual Report 0003304248 2018-10-01
Annual Report 0001861431 2017-09-28

USAspending Awards / Financial Assistance

Date:
2020-04-11
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:
43000.00
Total Face Value Of Loan:
43000.00

Paycheck Protection Program

Date Approved:
2020-04-10
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
43000
Current Approval Amount:
43000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
43552.52

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Date of last update: 30 May 2025

Sources: Idaho Secretary of State