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Advanced Integrated Medical Center, LLC

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Company Details

Name: Advanced Integrated Medical Center, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 29 Jan 2019 (6 years ago)
Financial Date End: 31 Jan 2023
Date dissolved: 13 Apr 2023
Entity Number: 3415861
Place of Formation: IDAHO
File Number: 652518
ZIP code: 83221
County: Bingham County
Principal Address: 725 JENSEN GROVE DR. STE. 4 BLACKFOOT, ID 83221
Mailing Address: 1395 NW MAIN ST BLACKFOOT, ID 83221-3936

Agent

Name Role Address
Dee S Stevens Agent 1395 NW MAIN ST, BLACKFOOT, ID 83221

Manager

Name Role Address Appointed On
Advanced Integrated Medical Center LLC Manager 1742 N 500 W, LOGAN, UT 84341 2020-12-07

National Provider Identifier

NPI Number:
1033674916
Certification Date:
2020-06-18

Authorized Person:

Name:
DEE STEVENS
Role:
OWNER/OPERATOR
Phone:

Taxonomy:

Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
363L00000X - Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
2087850683

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0005197767 2023-04-13
Annual Report 0004516620 2021-12-04
Annual Report 0004091724 2020-12-07
Annual Report 0003705603 2019-12-10
Statement of Change of Business Mailing Address 0003666013 2019-11-04

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:
28667.50
Total Face Value Of Loan:
28667.50

Paycheck Protection Program

Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
28667.5
Current Approval Amount:
28667.5
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
28965.32

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Date of last update: 17 May 2025

Sources: Idaho Secretary of State