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IRONWOOD FAMILY PRACTICE, P.A.

IRONWOOD FAMILY PRACTICE, P.A.

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Company Details

Name:	IRONWOOD FAMILY PRACTICE, P.A.
Jurisdiction:	Idaho
Legal type:	Professional Service Corporation (D)
Status:	Active-Good Standing
Date of registration:	02 Sep 1986 (39 years ago)
Financial Date End:	30 Sep 2025
Entity Number:	256151
Place of Formation:	IDAHO
File Number:	256151
ZIP code:	83815
County:	Kootenai County
Mailing Address:	NINA EVERSON 3815 N SCHREIBER WAY UNIT 102 COEUR D ALENE, ID 83815-8434

Director

Name	Role	Address	Appointed On	Resigned On
Geoffrey Emry	Director	920 IRONWOOD DR, COEUR D ALENE, ID 83814	2021-09-06	2023-10-26
Geoffrey T Emry	Director	920 W IRONWOOD DR, COEUR D ALENE, ID 83814-2464	2023-10-26	No data

President

Name	Role	Address	Appointed On
Geoffrey Emry MD	President	920 IRONWOOD DR, COEUR D ALENE, ID 83814	2020-08-21
Hollie E Mills	President	3815 N SCHREIBER WAY UNIT 102, COEUR D ALENE, ID 83815-8434	2023-10-26

Treasurer

Name	Role	Address	Appointed On
Timothy F Burns	Treasurer	920 W IRONWOOD DR, COEUR D ALENE, ID 83814-2464	2023-10-26

Vice President

Name	Role	Address	Appointed On
Leah M Weatherly	Vice President	920 W IRONWOOD DR, COEUR D ALENE, ID 83814-2464	2023-10-26

Secretary

Name	Role	Address	Appointed On
Leah M Weatherly	Secretary	920 W IRONWOOD DR, COEUR D ALENE, ID 83814-2464	2023-10-26

Agent

Name	Role	Address
Hollie E Mills	Agent	3815 N. SCHREIBER WAY, UNIT 102, COEUR DALENE, ID 83815

National Provider Identifier

NPI Number:

1083650931

Certification Date:

2025-01-10

Link:

View on NPI website

Authorized Person:

Name:

NINA RUTH EVERSON

Role:

EXECUTIVE DIRECTOR

Phone:

2086674557

Taxonomy:

Selected Taxonomy:

207Q00000X - Family Medicine Physician

Is Primary:

Yes

Contacts:

Phone:

+1 208-667-4557

Fax:

2087652887

Form 5500 Series

Employer Identification Number (EIN):

820408339

Plan Year:

2023

Number Of Participants:

50

Sponsors Telephone Number:

2086674557

File:

Plan Year:

2023

Number Of Participants:

50

Sponsors Telephone Number:

2086674557

Plan Year:

2022

Number Of Participants:

48

Sponsors Telephone Number:

2086674557

File:

Plan Year:

2021

Number Of Participants:

47

Sponsors Telephone Number:

2086674557

File:

Plan Year:

2020

Number Of Participants:

42

Sponsors Telephone Number:

2086674557

File:

Filing

Filing Name	Filing Number	Filing date
Annual Report	0005939396	2024-10-11
Statement of Change of Business Mailing Address	0005614974	2024-02-27
Annual Report	0005450278	2023-10-26
Annual Report Amendment	0005106365	2023-02-09
Annual Report	0004949131	2022-10-11

Paycheck Protection Program

Jobs Reported:

39

Initial Approval Amount:

$407,423.67

Date Approved:

2020-04-07

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$407,423.67

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$409,924.02

Servicing Lender:

Glacier Bank

Use of Proceeds:

Payroll: $407,423.67

Jobs Reported:

39

Initial Approval Amount:

$508,089.92

Date Approved:

2021-02-10

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$508,089.92

Race:

Unanswered

Ethnicity:

Unknown/NotStated

Gender:

Unanswered

Veteran:

Unanswered

Forgiveness Amount:

$511,110.62

Servicing Lender:

Glacier Bank

Use of Proceeds:

Payroll: $508,087.92
Utilities: $1

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Date of last update: 04 Aug 2025

Sources: Idaho Secretary of State