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SOUTHERN IDAHO SURGERY CENTER PLLC

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Company Details

Name: SOUTHERN IDAHO SURGERY CENTER PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 15 Mar 2011 (14 years ago)
Financial Date End: 31 Mar 2026
Entity Number: 313177
Place of Formation: IDAHO
File Number: 313177
ZIP code: 83646
County: Ada County
Principal Address: 3235 N TOWERBRIDGE WY STE 100 MERIDIAN, ID 83646
Mailing Address: STE 100 3235 N TOWERBRIDGE WAY MERIDIAN, ID 83646-5721

Agent

Name Role Address
JOEL WHITT Agent 3235 N TOWERBRIDGE WY STE 100, MERIDIAN, ID 83646

Manager

Name Role Address Appointed On
JOEL E WHITT Manager 3235 N TOWERBRIDGE WY STE 100, MERIDIAN, ID 83646 2021-04-06

Member

Name Role Address Appointed On Resigned On
Daniel Ashby Member 106 W. RUSH CT., EAGLE, ID 83616 2024-03-26 2024-03-26
DENNIS G STODDARD Member 1417 WINCHESTER DR, POCATELLO, ID 83201 2024-03-26 2024-03-26
ZANE O PALMER Member 3363 W RYDER CUP DR, MERIDIAN, ID 83646 2024-03-26 2024-03-26
JOHN C BURTENSHAW Member 5183 E 21ST ST, AMMON, ID 83406 2024-03-26 2024-03-26
RIKI R LAMBERT Member 5737 W FAIRVIEW AVE, BOISE, ID 83706 2024-03-26 2024-03-26
CORDELL D NEBEKER Member 10439 FALLOW FIELD ST, NAMPA, ID 83687 2024-03-26 2024-03-26

National Provider Identifier

NPI Number:
1396069902

Authorized Person:

Name:
DR. MARLON B MICHEL
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Form 5500 Series

Employer Identification Number (EIN):
451149795
Plan Year:
2023
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
3
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
5
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006160669 2025-03-14
Annual Report 0005659460 2024-03-26
Annual Report 0005195074 2023-04-11
Annual Report 0004667132 2022-03-22
Annual Report 0004237546 2021-04-06

USAspending Awards / Financial Assistance

Date:
2020-04-07
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:
45000.00
Total Face Value Of Loan:
45000.00
Date:
2011-04-29
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
625000.00
Total Face Value Of Loan:
625000.00

Paycheck Protection Program

Date Approved:
2020-04-07
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
45000
Current Approval Amount:
45000
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
45441.37

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Date of last update: 01 Jun 2025

Sources: Idaho Secretary of State