Company Details
| Name: |
IDAHO SURGICENTER, INC. |
| Jurisdiction: |
Idaho |
| Legal type: |
General Business Corporation (D) |
| Status: |
Active-Good Standing
|
| Date of registration: |
21 May 2003 (22 years ago)
|
| Financial Date End: |
31 May 2026 |
| Entity Number: |
454356 |
| Place of Formation: |
IDAHO |
| File Number: |
454356 |
| Mailing Address: |
SEAN PO BOX 2067 POCATELLO, ID 83206-2067 |
Agent
| Name |
Role |
Address |
|
Sean D. Barnard
|
Agent
|
1157 CALL PLACE, POCATELLO, ID 83201
|
Director
| Name |
Role |
Address |
Appointed On |
|
Sean Barnard
|
Director
|
PO 2067, POCATELLO, ID 83206
|
2020-08-05
|
President
| Name |
Role |
Address |
Appointed On |
Resigned On |
|
Darin G Gambles
|
President
|
1157 CALL PLACE, POCATELLO, ID 83201
|
2024-04-05
|
2024-04-05
|
Vice President
| Name |
Role |
Address |
Appointed On |
Resigned On |
|
Brandon D Wilde
|
Vice President
|
1157 CALL PLACE, POCATELLO, ID 83201
|
2024-04-05
|
2024-04-05
|
Secretary
| Name |
Role |
Address |
Appointed On |
Resigned On |
|
Brent Christensen
|
Secretary
|
1157 CALL PLACE, POCATELLO, ID 83201
|
2024-04-05
|
2024-04-05
|
Treasurer
| Name |
Role |
Address |
Appointed On |
Resigned On |
|
Brent Christensen
|
Treasurer
|
1157 CALL PLACE, POCATELLO, ID 83201
|
2024-04-05
|
2024-04-05
|
National Provider Identifier
Certification Date:
2022-01-31
Authorized Person:
Taxonomy:
Selected Taxonomy:
213ES0103X - Foot & Ankle Surgery Podiatrist
Selected Taxonomy:
213ES0103X - Foot & Ankle Surgery Podiatrist
Selected Taxonomy:
213ES0103X - Foot & Ankle Surgery Podiatrist
Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Contacts:
Paycheck Protection Program
Initial Approval Amount:
$37,900
Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$37,900
Ethnicity:
Unknown/NotStated
Forgiveness Amount:
$38,102.48
Servicing Lender:
Zions Bank, A Division of
Use of Proceeds:
Payroll: $37,900
This company hasn't received any reviews.
Date of last update: 01 Jul 2025
Sources:
Idaho Secretary of State
