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SIPI Clinic LLC

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Company Details

Name: SIPI Clinic LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 20 Dec 2022 (2 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 5034512
Place of Formation: IDAHO
File Number: 854534
ZIP code: 83301
County: Twin Falls County
Principal Address: 176 FALLS AVENUE TWIN FALLS, ID 83301
Mailing Address: 176 FALLS AVE TWIN FALLS, ID 83301-2306

Agent

Name Role Address
Denise Rue Agent 8 NORTHRIDGE WAY, JEROME, ID 83338

Manager

Name Role Address Appointed On Resigned On
JMU MEDICAL SERVICES, LLC Manager 1096 N EASTLAND DR, TWIN FALLS, ID 83301 2023-11-30 2023-11-30
BND RUE LLC Manager 176 FALLS AVENUE, TWIN FALLS, ID 83301 2023-02-07 No data

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
DLRAHKM6N719
CAGE Code:
99HR2
UEI Expiration Date:
2025-08-21

Business Information

Doing Business As:
SOUTHERN IDAHO PAIN INSTITUTE
Division Name:
SOUTHERN IDAHO PAIN INSTITUTE
Division Number:
SOUTHERN I
Activation Date:
2024-08-23
Initial Registration Date:
2021-10-14

National Provider Identifier

NPI Number:
1780398586
Certification Date:
2024-05-06

Authorized Person:

Name:
DENISE RUE
Role:
OFFICE MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
No
Selected Taxonomy:
174400000X - Specialist
Is Primary:
Yes

Contacts:

Fax:
2087333168

Filing

Filing Name Filing Number Filing date
Annual Report 0006001382 2024-12-03
Annual Report 0005491093 2023-11-30
Amendment to Certificate 0005098964 2023-02-07
Initial Filing 0005034512 2022-12-20

USAspending Awards / Financial Assistance

Date:
2023-02-15
Awarding Agency Name:
Small Business Administration
Transaction Description:
AWARDTYPE: GUARANTEED/INSURED LOANS ACTIVITIES TO BE PERFORMED: TO PROVIDE GUARANTEED LOANS FROM LENDERS TO ELIGIBLE FOR PROFIT SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE BUT CAN DEMONSTRATE AN ABILITY TO REPAY LOANS IF GRANTED, IN A TIMELY MANNER. THE SBA GUARANTEES 7(A) PROGRAM LOANS THROUGH VARIOUS LOAN PROCESSING METHODS INCLUDING: (1) STANDARD 7(A) LOANS; (2) 7(A) SMALL LOANS; (3) SBAEXPRESS LOANS; (4) CAPLINE LOANS; (5) THE QUALIFIED EMPLOYEE TRUSTS (ESOP); (6) EXPORT EXPRESS; (7)EXPORT WORKING CAPITAL PROGRAM (EWCP); (8) INTERNATIONAL TRADE, AND (9) PILOT (TEMPORARY) PROGRAMS. DELIVERABLES: LOAN GUARANTEES EXPECTED OUTCOMES: TO PROVIDE GUARANTEED LOANS FROM LENDERS TO ELIGIBLE FOR PROFIT SMALL BUSINESSES AND, IN CERTAIN CIRCUMSTANCES, TO QUALIFIED EMPLOYEE TRUSTS (ESOPS). INTENDED BENEFICIARIES: SMALL BUSINESSES SUBRECIPIENT ACTIVITIES: NA
Obligated Amount:
0.00
Face Value Of Loan:
1000000.00
Total Face Value Of Loan:
1000000.00

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Date of last update: 26 Mar 2025

Sources: Idaho Secretary of State