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CALDWELL IMMEDIATE CARE, PLLC

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Company Details

Name: CALDWELL IMMEDIATE CARE, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 21 Apr 2015 (10 years ago)
Financial Date End: 30 Apr 2026
Entity Number: 458252
Place of Formation: IDAHO
File Number: 458252
ZIP code: 83605
County: Canyon County
Principal Address: 2523 S. 10TH AVE 103 CALDWELL, ID 83605
Mailing Address: STE 103 2523 S 10TH AVE CALDWELL, ID 83605-6760

Agent

Name Role Address
Travis L Page Agent 2523 S 10TH AVE, STE 103, CALDWELL, ID 83605

Member

Name Role Address Appointed On
Travis Page Member 2523 S 10TH AVE, CALDWELL, ID 83605 2021-03-03

National Provider Identifier

NPI Number:
1154709863

Authorized Person:

Name:
MR. JONATHAN BRUCE PITTARD
Role:
OWNER/PROVIDER
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006137302 2025-03-03
Annual Report 0005625413 2024-03-03
Annual Report 0005133867 2023-03-03
Annual Report 0004629386 2022-03-03
Annual Report 0004188186 2021-03-03

USAspending Awards / Financial Assistance

Date:
2021-04-02
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:
63512.00
Total Face Value Of Loan:
63512.00
Date:
2020-07-31
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:
15100.00
Total Face Value Of Loan:
15100.00

Paycheck Protection Program

Date Approved:
2021-04-02
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
63512
Current Approval Amount:
63512
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
63633.8
Date Approved:
2020-07-31
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
15100
Current Approval Amount:
15100
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
15162.88

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Date of last update: 11 May 2025

Sources: Idaho Secretary of State