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TWO RIVERS MEDICAL CLINIC, P.A.

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Company Details

Name: TWO RIVERS MEDICAL CLINIC, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 01 Feb 1995 (31 years ago)
Financial Date End: 28 Feb 2026
Entity Number: 336760
Place of Formation: IDAHO
File Number: 336760
ZIP code: 83672
County: Washington County
Mailing Address: MICHELE JOHNSON 683 E 3RD ST WEISER, ID 83672-2248

Agent

Name Role Address
LORE B WOOTTON Agent 683 EAST THIRD ST, WEISER, ID 83672

Secretary

Name Role Address Appointed On
Michele R Johnson Secretary 683 E. THIRD STREET, WEISER, ID 83672 2021-01-25

Unique Entity ID

CAGE Code:
7K2G0
UEI Expiration Date:
2017-02-07

Business Information

Doing Business As:
TWO RIVERS MEDICAL CLINIC PA
Activation Date:
2016-02-12
Initial Registration Date:
2016-01-22

Commercial and government entity program

CAGE number:
7K2G0
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2022-02-08
CAGE Expiration:
2022-02-07

Contact Information

POC:
ANTHONY L. EDMONDSON
Corporate URL:
www.tworiversmedicalclinic.com

National Provider Identifier

NPI Number:
1376662486

Authorized Person:

Name:
TONY EDMONDSON
Role:
CLINIC ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
261QR1300X - Rural Health Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2085490104

Filing

Filing Name Filing Number Filing date
Annual Report 0006155120 2025-03-10
Annual Report 0005585729 2024-02-05
Annual Report 0005100106 2023-02-07
Annual Report 0004625398 2022-02-28
Annual Report 0004143322 2021-01-25

USAspending Awards / Financial Assistance

Date:
2020-04-14
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:
279521.00
Total Face Value Of Loan:
279521.00

Paycheck Protection Program

Jobs Reported:
19
Initial Approval Amount:
$279,521
Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$279,521
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$283,120.31
Servicing Lender:
Umpqua Bank
Use of Proceeds:
Payroll: $279,521

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Date of last update: 01 Sep 2025

Sources: Idaho Secretary of State