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FUNCTIONAL AND INTEGRATIVE MEDICINE OF IDAHO, P.A.

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Company Details

Name: FUNCTIONAL AND INTEGRATIVE MEDICINE OF IDAHO, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 22 Feb 1995 (31 years ago)
Financial Date End: 28 Feb 2026
Entity Number: 337535
Place of Formation: IDAHO
File Number: 337535
ZIP code: 83638
County: Valley County
Mailing Address: 114 N 3RD ST MCCALL, ID 83638-4416

Agent

Name Role Address
GAIL EBERHARTER RANKIN Agent 675 FOX RIDGE LANE, MCCALL, ID 83638-1043

President

Name Role Address Appointed On
Gail E Rankin President PO BOX 1043, MCCALL, ID 83638-1043 2021-01-03

Secretary

Name Role Address Appointed On Resigned On
Joseph Bruce Rankin Secretary PO BOX 1043, MCCALL, ID 83638-1043 2024-01-02 2024-01-02

National Provider Identifier

NPI Number:
1740524701

Authorized Person:

Name:
DR. GAIL M. EBERHARTER
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2083850346

Filing

Filing Name Filing Number Filing date
Annual Report 0006049535 2025-01-06
Annual Report 0005533699 2024-01-02
Annual Report 0005063994 2023-01-12
Statement of Change of Business Mailing Address 0004652831 2022-03-10
Annual Report Amendment 0004651176 2022-03-09

Paycheck Protection Program

Jobs Reported:
1
Initial Approval Amount:
$3,385
Date Approved:
2021-02-26
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$3,385
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$3,399
Servicing Lender:
Umpqua Bank
Use of Proceeds:
Payroll: $3,385

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Date of last update: 01 Sep 2025

Sources: Idaho Secretary of State