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IDAHO PHYSICIANS CLINIC

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Company Details

Name: IDAHO PHYSICIANS CLINIC
Jurisdiction: Idaho
Legal type: Assumed Business Name
Status: Active-Current
Date of registration: 27 Aug 2007 (18 years ago)
Entity Number: 352443
Place of Formation: IDAHO
File Number: 0000352443
ZIP code: 83221
County: Bingham County
Mailing Address: 98 POPLAR ST BLACKFOOT, ID 83221

Unique Entity ID

CAGE Code:
6XCL9
UEI Expiration Date:
2020-11-24

Business Information

Activation Date:
2019-11-25
Initial Registration Date:
2013-06-07

Commercial and government entity program

CAGE number:
6XCL9
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2024-02-02
SAM Expiration:
2024-02-02

Contact Information

POC:
RANDY POWELL

National Provider Identifier

NPI Number:
1114907532

Authorized Person:

Name:
LOUIS KRAML
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
261QR1300X - Rural Health Clinic/Center
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Initial Filing 0000352443 2007-08-27

USAspending Awards / Financial Assistance

Date:
2019-09-13
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
AFFORDABLE CARE ACT TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM
Obligated Amount:
2720818.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2016-07-08
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
AFFORDABLE CARE ACT TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM
Obligated Amount:
4281313.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2014-07-03
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
AFFORDABLE CARE ACT TEACHING HEALTH CENTER (THC) GRADUATE MEDICAL EDUCATION (GME) PAYMENT PROGRAM
Obligated Amount:
4281313.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

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Date of last update: 25 Sep 2024

Sources: Idaho Secretary of State