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CLEARWATER GASTROENTEROLOGY, PLLC

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Company Details

Name: CLEARWATER GASTROENTEROLOGY, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 12 Feb 2013 (13 years ago)
Financial Date End: 28 Feb 2026
Entity Number: 374013
Place of Formation: IDAHO
File Number: 374013
ZIP code: 83501
County: Nez Perce County
Principal Address: 2517 17TH STREET STE B LEWISTON, ID 83501
Mailing Address: STE B 2517 17TH ST LEWISTON, ID 83501-6311

Agent

Name Role Address
CARL DETTWILER MD Agent 2517 17TH STREET, SUITE B, LEWISTON, ID 83501

Member

Name Role Address Appointed On
Carl Dettwiler Member 36108 MILLER ROAD, LEWISTON, ID 83501 2021-02-09

National Provider Identifier

NPI Number:
1518205715

Authorized Person:

Name:
MR. CARL RAY DETTWILER
Role:
M.D.
Phone:

Taxonomy:

Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006043730 2025-01-03
Annual Report 0005535710 2024-01-03
Annual Report 0005052450 2023-01-04
Annual Report 0004585235 2022-01-31
Annual Report 0004169408 2021-02-09

USAspending Awards / Financial Assistance

Date:
2021-01-23
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:
68497.50
Total Face Value Of Loan:
68497.50
Date:
2020-04-28
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:
73800.00
Total Face Value Of Loan:
73800.00

Paycheck Protection Program

Jobs Reported:
7
Initial Approval Amount:
$73,800
Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$73,800
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$74,351.98
Servicing Lender:
Zions Bank, A Division of
Use of Proceeds:
Payroll: $73,800
Jobs Reported:
7
Initial Approval Amount:
$68,497.5
Date Approved:
2021-01-20
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$68,497.5
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$68,754.6
Servicing Lender:
Zions Bank, A Division of
Use of Proceeds:
Payroll: $68,495.5
Utilities: $1

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Date of last update: 06 Aug 2025

Sources: Idaho Secretary of State