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Root Cause Integrative Medicine LLC

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Company Details

Name: Root Cause Integrative Medicine LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 28 Dec 2018 (7 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 3383836
Place of Formation: IDAHO
File Number: 648409
ZIP code: 83406
County: Bonneville County
Principal Address: STE B 1547 MIDWAY AVE. AMMON, ID 83406
Mailing Address: STE B 1547 MIDWAY AVE AMMON, ID 83406-6912

Manager

Name Role Address Appointed On
Jordan Hale Manager 1547 MIDWAY DR., IDAHO FALLS, ID 83406 2020-12-30

Agent

Name Role Address
GUARDIAN REGISTERED AGENTS LLC Agent 955 PIER VIEW DR, IDAHO FALLS, ID 83402

National Provider Identifier

NPI Number:
1447718853

Authorized Person:

Name:
MR. JORDAN NEIL HALE
Role:
CO-OWNER/ PHYSICIAN ASSISTANT
Phone:

Taxonomy:

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

Contacts:

Fax:
2084970430

Filing

Filing Name Filing Number Filing date
Annual Report 0006040612 2024-12-31
Annual Report 0005531604 2023-12-31
Annual Report 0005040832 2022-12-29
Annual Report 0004543974 2021-12-29
Annual Report 0004110711 2020-12-30

USAspending Awards / Financial Assistance

Date:
2020-04-28
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:
45400.00
Total Face Value Of Loan:
45400.00
Date:
2020-04-25
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
4000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Paycheck Protection Program

Jobs Reported:
4
Initial Approval Amount:
$45,400
Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$45,400
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$45,851.51
Servicing Lender:
The Bank of Commerce
Use of Proceeds:
Payroll: $45,400

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Date of last update: 06 Jul 2025

Sources: Idaho Secretary of State