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Ridgeline Medical LLC

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Company Details

Name: Ridgeline Medical LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 18 Oct 2018 (7 years ago)
Financial Date End: 31 Oct 2025
Entity Number: 3331585
Place of Formation: IDAHO
File Number: 640377
ZIP code: 83404
County: Bonneville County
Principal Address: 2470 JAFER CT. IDAHO FALLS, ID 83404-8281
Mailing Address: 2470 JAFER CT IDAHO FALLS, ID 83404-5587

Agent

Name Role Address
Craig Sorensen Agent 2470 JAFER CT, IDAHO FALLS, ID 83404

Member

Name Role Address Appointed On
Craig Sorensen Member 2470 JAFER CT., IDAHO FALLS, ID 83404 2020-09-03

National Provider Identifier

NPI Number:
1386110963
Certification Date:
2021-11-01

Authorized Person:

Name:
MARTIN MANGAN
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
No
Selected Taxonomy:
207QS1201X - Sleep Medicine (Family Medicine) Physician
Is Primary:
No
Selected Taxonomy:
208100000X - Physical Medicine & Rehabilitation Physician
Is Primary:
No
Selected Taxonomy:
261QU0200X - Urgent Care Clinic/Center
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2087159992

Filing

Filing Name Filing Number Filing date
Annual Report 0005902576 2024-09-17
Annual Report 0005383115 2023-09-05
Annual Report 0004957892 2022-10-20
Annual Report 0004436572 2021-10-04
Statement of Change of Business Mailing Address 0004360837 2021-07-29

USAspending Awards / Financial Assistance

Date:
2020-04-15
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:
19500.00
Total Face Value Of Loan:
19500.00

Paycheck Protection Program

Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
19500
Current Approval Amount:
19500
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
19605.25

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Date of last update: 16 May 2025

Sources: Idaho Secretary of State