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Intermountain Family Chiropractic LLC

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Company Details

Name: Intermountain Family Chiropractic LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 20 Jun 2019 (6 years ago)
Financial Date End: 30 Jun 2026
Entity Number: 3547691
Place of Formation: IDAHO
File Number: 670713
ZIP code: 83864
County: Bonner County
Principal Address: #109 102 EUCLID AVE SANDPOINT, ID 83864
Mailing Address: STE 102 1013 LAKE ST SANDPOINT, ID 83864-5002

Member

Name Role Address Appointed On
Cameron VanDenBerg Member 1013 LAKE STREET, SANDPOINT, ID 83864-4916 2021-07-12

Agent

Name Role Address
Emery Accounting LLC Agent 223 CEDAR ST, SANDPOINT, ID 83864

National Provider Identifier

NPI Number:
1871146050
Certification Date:
2023-12-28

Authorized Person:

Name:
DR. CAMERON C VANDENBERG
Role:
OWNER/CHIROPRACTOR
Phone:

Taxonomy:

Selected Taxonomy:
111N00000X - Chiropractor
Is Primary:
Yes

Contacts:

Fax:
2082632268

Filing

Filing Name Filing Number Filing date
Annual Report 0006300699 2025-06-05
Annual Report 0005730085 2024-05-07
Annual Report 0005268418 2023-06-05
Annual Report 0004787676 2022-06-20
Annual Report 0004345248 2021-07-12

USAspending Awards / Financial Assistance

Date:
2021-03-25
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:
20833.00
Total Face Value Of Loan:
20833.00

Paycheck Protection Program

Date Approved:
2021-03-25
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
20833
Current Approval Amount:
20833
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
20903.78

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Date of last update: 06 Jul 2025

Sources: Idaho Secretary of State