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FALL RIVER MEDICAL INC.

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Company Details

Name: FALL RIVER MEDICAL INC.
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 12 Nov 2008 (17 years ago)
Financial Date End: 30 Nov 2009
Date dissolved: 04 Feb 2010
Entity Number: 546796
Place of Formation: IDAHO
File Number: 0000546796
ZIP code: 83201
County: Bannock County
Mailing Address: 817 WILLARD AVE POCATELLO, ID 83201

National Provider Identifier

NPI Number:
1457698987

Authorized Person:

Name:
DR. AUSTIN C GILLETTE
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261Q00000X - Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QR1100X - Research Clinic/Center
Is Primary:
No
Selected Taxonomy:
261QU0200X - Urgent Care Clinic/Center
Is Primary:
No
Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
No
Selected Taxonomy:
261QP2300X - Primary Care Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
1888512685
Fax:
8774414715

Form 5500 Series

Employer Identification Number (EIN):
455054082
Plan Year:
2023
Number Of Participants:
20
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
17
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
17
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
15
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
13
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Initial Filing 0000546796 2008-11-12

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:
117300.00
Total Face Value Of Loan:
117300.00

Paycheck Protection Program

Jobs Reported:
23
Initial Approval Amount:
$117,300
Date Approved:
2020-04-28
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$117,300
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$99,845.59
Servicing Lender:
Zions Bank, A Division of
Use of Proceeds:
Payroll: $117,300

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Date of last update: 26 Sep 2024

Sources: Idaho Secretary of State