Search icon

PODIATRY SERVICES OF IDAHO, PLLC

Company claim

Is this your business?

Get access!

Company Details

Name: PODIATRY SERVICES OF IDAHO, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 03 Apr 2015 (10 years ago)
Financial Date End: 30 Apr 2026
Entity Number: 456346
Place of Formation: IDAHO
File Number: 456346
ZIP code: 83605
County: Canyon County
Principal Address: 1105 E USTICK RD CALDWELL, ID 83605
Mailing Address: 229 E LOGAN ST CALDWELL, ID 83605-4835

Agent

Name Role Address
CAMILLE E HARRIS Agent 15100 S 10TH AVE, CALDWELL, ID 83607

Manager

Name Role Address Appointed On
Camille E Harris Manager 15100 10TH AVE, CALDWELL, ID 83607 2021-03-04

Member

Name Role Address Appointed On Resigned On
Daniel F Harris Member 15100 10TH AVE, CALDWELL, ID 83607 2024-03-28 2024-03-28
ASHLEY E HARRIS Member 15100 10TH AVE, CALDWELL, ID 83607 2024-03-28 2024-03-28
JERRY D HARRIS Member 15100 10TH AVE, CALDWELL, ID 83607 2024-03-28 2024-03-28

National Provider Identifier

NPI Number:
1588861405
Certification Date:
2022-03-01

Authorized Person:

Name:
DR. CAMILLE ELIZABETH HARRIS
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
213E00000X - Podiatrist
Is Primary:
Yes

Contacts:

Fax:
2084026578
Fax:
0840265782

Filing

Filing Name Filing Number Filing date
Annual Report 0006141850 2025-03-04
Annual Report 0005661397 2024-03-28
Statement of Change of Business Mailing Address 0005151919 2023-03-10
Annual Report 0005151927 2023-03-10
Annual Report 0004659085 2022-03-14

Paycheck Protection Program

Jobs Reported:
3
Initial Approval Amount:
$11,335
Date Approved:
2020-07-10
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$11,335
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$11,396.71
Servicing Lender:
Pioneer Federal Credit Union
Use of Proceeds:
Payroll: $11,335

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 22 Jul 2025

Sources: Idaho Secretary of State