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COEUR D' ALENE PRIMARY CARE, PLLC

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Company Details

Name: COEUR D' ALENE PRIMARY CARE, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 09 Aug 2013 (12 years ago)
Financial Date End: 31 Aug 2025
Entity Number: 391859
Place of Formation: IDAHO
File Number: 391859
ZIP code: 83815
County: Kootenai County
Principal Address: 2019 W CANYON DRIVE COEUR D ALENE, ID 83815
Mailing Address: 2019 W CANYON DR COEUR D ALENE, ID 83815-9072

Agent

Name Role Address
BRANDON RICE Agent 2019 W CANYON DR, COEUR D ALENE, ID 83814

Member

Name Role Address Appointed On
Brandon Rice Member 2019 W CANYON DR, COEUR D' ALENE, ID 83815 2020-07-06
Robert Lakko Member 359 DRUMMOND PEAK RD, KINGSTON, ID 83839 2023-07-03

National Provider Identifier

NPI Number:
1922431360
Certification Date:
2022-12-29

Authorized Person:

Name:
BRANDON RICE
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363A00000X - Physician Assistant
Is Primary:
No
Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2086252051

Filing

Filing Name Filing Number Filing date
Annual Report 0005796869 2024-07-03
Annual Report 0005301243 2023-07-03
Annual Report 0004838221 2022-08-03
Annual Report 0004335501 2021-07-06
Annual Report 0003932783 2020-07-06

USAspending Awards / Financial Assistance

Date:
2020-04-14
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:
21169.75
Total Face Value Of Loan:
21169.75
Date:
2015-12-16
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
326000.00
Total Face Value Of Loan:
326000.00

Paycheck Protection Program

Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
21169.75
Current Approval Amount:
21169.75
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
21344.91

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Date of last update: 30 Jun 2025

Sources: Idaho Secretary of State