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CENTER FOR PAIN CARE, P.A.

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Company Details

Name: CENTER FOR PAIN CARE, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 06 May 2003 (22 years ago)
Financial Date End: 31 May 2026
Entity Number: 453454
Place of Formation: IDAHO
File Number: 453454
ZIP code: 83702
County: Ada County
Mailing Address: MK MALLARI STE 102 115 W MAIN ST BOISE, ID 83702-7304

President

Name Role Address Appointed On
Clinton G Mallari President 970 N. HILTONHEAD WAY, EAGLE, ID 83616 2021-04-05

Agent

Name Role Address
CLINTON MALLARI Agent 115 W MAIN SUITE, 102, MK MALLARI, BOISE, ID 83702

National Provider Identifier

NPI Number:
1023024684

Authorized Person:

Name:
DR. CLINTON MALLARI
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
2081P2900X - Pain Medicine (Physical Medicine & Rehabilitation) Physician
Is Primary:
Yes

Contacts:

Fax:
2083424710

Filing

Filing Name Filing Number Filing date
Annual Report 0006200294 2025-04-08
Annual Report 0005772128 2024-06-10
Annual Report 0005221542 2023-05-03
Annual Report 0004696583 2022-04-13
Annual Report 0004228925 2021-04-05

USAspending Awards / Financial Assistance

Date:
2020-04-29
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:
38400.00
Total Face Value Of Loan:
38400.00

Paycheck Protection Program

Jobs Reported:
4
Initial Approval Amount:
$38,400
Date Approved:
2020-04-29
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$38,400
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$38,651.44
Servicing Lender:
D. L. Evans Bank
Use of Proceeds:
Payroll: $28,800
Mortgage Interest: $4,800
Healthcare: $4800

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Date of last update: 01 Jul 2025

Sources: Idaho Secretary of State