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PAIN CENTER, INC.

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Company Details

Name: PAIN CENTER, INC.
Jurisdiction: Idaho
Legal type: General Business Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 15 Oct 2010 (15 years ago)
Financial Date End: 31 Oct 2024
Date dissolved: 11 Jan 2025
Entity Number: 570244
Place of Formation: IDAHO
File Number: 570244
ZIP code: 83702
County: Ada County
Mailing Address: 633 N 4TH ST BOISE, ID 83702-4510

Agent

Name Role Address
SANDRA A THOMPSON Agent 179 N AL FRESCO PLACE, BOISE, ID 83712

President

Name Role Address Appointed On
SANDRA THOMPSON President 2092 E FELDSPAR COURT, BOISE, ID 83712 2020-10-05

National Provider Identifier

NPI Number:
1740582303
Certification Date:
2024-08-01

Authorized Person:

Name:
DR. SANDRA A THOMPSON
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
208VP0000X - Pain Medicine Physician
Is Primary:
No
Selected Taxonomy:
261QP3300X - Pain Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2083424223

Form 5500 Series

Employer Identification Number (EIN):
273780811
Plan Year:
2023
Number Of Participants:
29
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
19
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
16
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
16
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
9
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0006065037 2025-01-11
Annual Report 0005381386 2023-09-05
Annual Report 0004884502 2022-09-06
Annual Report 0004408865 2021-09-07
Annual Report 0004022356 2020-10-05

USAspending Awards / Financial Assistance

Date:
2020-07-16
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO PROVIDE LOANS TO RESTORE AS NEARLY AS POSSIBLE THE VICTIMS OF ECONOMIC INJURY TYPE DISASTERS TO PRE-DISASTER CONDITIONS
Obligated Amount:
0.00
Face Value Of Loan:
150000.00
Total Face Value Of Loan:
150000.00
Date:
2020-07-01
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Paycheck Protection Program

Date Approved:
2020-04-08
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
211400
Current Approval Amount:
211400
Race:
Black or African American
Ethnicity:
Unknown/NotStated
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
214232.18

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Date of last update: 14 May 2025

Sources: Idaho Secretary of State