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COEUR OBSTETRICS AND GYNECOLOGY, PLLC

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Company Details

Name: COEUR OBSTETRICS AND GYNECOLOGY, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 29 Dec 2011 (14 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 337677
Place of Formation: IDAHO
File Number: 337677
ZIP code: 83814
County: Kootenai County
Principal Address: 980 W IRONWOOD DR STE 201 COEUR D ALENE, ID 83814
Mailing Address: STE 201 980 W IRONWOOD DR COEUR D ALENE, ID 83814-2668

Agent

Name Role Address
ANDREW A HENNEBERG MD Agent 980 W IRONWOOD DR STE 201, COEUR D ALENE, ID 83814

Member

Name Role Address Appointed On Resigned On
John Kim Member 980 W IRONWOOD DR, COEUR D ALENE, ID 83814-2668 2020-11-03 No data
Jennifer Farwell Member 980 W IRONWOOD DR, COEUR D ALENE, ID 83814-2668 2023-11-03 2023-11-03
Kevin Schultz Member 980 W IRONWOOD DR, COEUR D ALENE, ID 83814-2668 2023-11-03 2023-11-03

National Provider Identifier

NPI Number:
1730280744
Certification Date:
2020-05-14

Authorized Person:

Name:
DR. ANDREW ANTHONY HENNEBERG
Role:
OWNER/MD
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
2086678618

Filing

Filing Name Filing Number Filing date
Annual Report 0005957760 2024-11-03
Annual Report 0005460470 2023-11-03
Annual Report 0004990547 2022-11-11
Annual Report 0004511937 2021-12-03
Annual Report 0004047581 2020-11-03

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:
124000.00
Total Face Value Of Loan:
124000.00

Paycheck Protection Program

Date Approved:
2020-04-04
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
124000
Current Approval Amount:
124000
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
124785.33

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Date of last update: 28 Jun 2025

Sources: Idaho Secretary of State