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IDAHO SURGICAL PARTNERS, P.C.

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Company Details

Name: IDAHO SURGICAL PARTNERS, P.C.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 28 Aug 1995 (30 years ago)
Financial Date End: 31 Aug 2026
Entity Number: 344423
Place of Formation: IDAHO
File Number: 344423
ZIP code: 83616
County: Ada County
Mailing Address: STE 220 323 E RIVERSIDE DR EAGLE, ID 83616-5246

Agent

Name Role Address
GIVENS PURSLEY CORPORATE SERVICES LLC Agent 601 W BANNOCK ST, BOISE, ID 83702

President

Name Role Address Appointed On
Matthew R Macha President 323 RIVERSIDE DR 220 STE, EAGLE, ID 83616 2020-08-03

National Provider Identifier

NPI Number:
1598817348
Certification Date:
2024-09-30

Authorized Person:

Name:
AMI YANTIS
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
2087792889

Filing

Filing Name Filing Number Filing date
Annual Report 0006380724 2025-08-04
Annual Report 0005869008 2024-08-23
Annual Report 0005354303 2023-08-06
Annual Report 0004824713 2022-07-17
Annual Report 0004333219 2021-07-05

USAspending Awards / Financial Assistance

Date:
2021-02-02
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:
34197.00
Total Face Value Of Loan:
34197.00
Date:
2020-04-11
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:
34100.00
Total Face Value Of Loan:
34100.00
Date:
2020-04-11
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:
34100.00
Total Face Value Of Loan:
34100.00

Paycheck Protection Program

Jobs Reported:
2
Initial Approval Amount:
$34,100
Date Approved:
2020-04-10
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$34,100
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$34,327.96
Servicing Lender:
D. L. Evans Bank
Use of Proceeds:
Payroll: $25,575
Utilities: $4,262
Rent: $4,263
Jobs Reported:
2
Initial Approval Amount:
$34,197
Date Approved:
2021-02-02
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$34,197
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$34,490.25
Servicing Lender:
D. L. Evans Bank
Use of Proceeds:
Payroll: $34,197

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Date of last update: 05 Aug 2025

Sources: Idaho Secretary of State