Search icon

CHAMBERLAIN GENERAL SURGERY, P.A.

Company claim

Is this your business?

Get access!

Company Details

Name: CHAMBERLAIN GENERAL SURGERY, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 22 Jan 2001 (25 years ago)
Financial Date End: 31 Jan 2026
Entity Number: 419301
Place of Formation: IDAHO
File Number: 419301
ZIP code: 83404
County: Bonneville County
Mailing Address: 2805 VALENCIA DR IDAHO FALLS, ID 83404-7597

Agent

Name Role Address
David J Chamberlain Agent 2805 VALENCIA DRIVE, IDAHO FALLS, ID 83404

President

Name Role Address Appointed On
David Chamberlain President 2805 VALENCIA DRIVE, IDAHO FALLS, ID 83404 2020-12-03

National Provider Identifier

NPI Number:
1770680191

Authorized Person:

Name:
DAVID J CHAMBERLAIN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
208600000X - Surgery Physician
Is Primary:
Yes

Contacts:

Fax:
2085256151

Filing

Filing Name Filing Number Filing date
Annual Report 0005998587 2024-12-03
Annual Report 0005493214 2023-12-03
Annual Report 0005007199 2022-12-03
Annual Report 0004511420 2021-12-03
Annual Report 0004083153 2020-12-03

Paycheck Protection Program

Jobs Reported:
3
Initial Approval Amount:
$26,900
Date Approved:
2020-04-16
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$26,900
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$27,140.99
Servicing Lender:
Zions Bank, A Division of
Use of Proceeds:
Payroll: $26,900

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 21 Jul 2025

Sources: Idaho Secretary of State