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SOUTHWEST IDAHO SURGERY CENTER, INC.

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Company Details

Name: SOUTHWEST IDAHO SURGERY CENTER, INC.
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Active-Good Standing
Date of registration: 02 Jan 1996 (29 years ago)
Financial Date End: 31 Jan 2026
Entity Number: 361569
Place of Formation: IDAHO
File Number: 361569
ZIP code: 83704
County: Ada County
Mailing Address: ERIN PRETTYWEASEL STE 450 900 N LIBERTY ST BOISE, ID 83704-8891

President

Name Role Address Appointed On Resigned On
Todd J Rustad President 900 N LIBERTY STREET, BOISE, ID 83704-8787 2020-12-03 2022-01-07
Ryan Van De Graaff President 900 N LIBERTY STREET, BOISE, ID 83704-8787 2022-01-07 No data

Secretary

Name Role Address Appointed On Resigned On
Eric Garner Secretary 900 N LIBERTY STREET, BOISE, ID 83704-8787 2024-02-27 2024-02-27

Director

Name Role Address Appointed On Resigned On
Matthew Schwarz Director 900 N LIBERTY STREET, BOISE, ID 83704-8787 2024-02-27 2024-02-27
Alexander Rock Director 900 N LIBERTY ST, BOISE, ID 83704-8891 2024-02-27 2024-02-27

Agent

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

Vice President

Name Role Address Appointed On
Ryan Van De Graaff Vice President 900 N LIBERTY STREET, BOISE, ID 83704-8787 2025-01-30

National Provider Identifier

NPI Number:
1477619005

Authorized Person:

Name:
DR. ARTHUR C JONES III
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2083677433

Filing

Filing Name Filing Number Filing date
Annual Report 0006085073 2025-01-30
Annual Report 0005615033 2024-02-27
Annual Report 0005020758 2022-12-08
Annual Report 0004558148 2022-01-07
Change of Registered Office/Agent/Both (by Entity) 0004295454 2021-06-03

USAspending Awards / Financial Assistance

Date:
2021-02-19
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:
233320.00
Total Face Value Of Loan:
233320.00
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:
200500.00
Total Face Value Of Loan:
200500.00

Paycheck Protection Program

Date Approved:
2021-02-19
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
233320
Current Approval Amount:
233320
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
234106.26
Date Approved:
2020-04-10
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
200500
Current Approval Amount:
200500
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
202142.45

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Date of last update: 03 Jun 2025

Sources: Idaho Secretary of State