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SURGERY CENTER, PLLC (THE)

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Company Details

Name: SURGERY CENTER, PLLC (THE)
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 29 Sep 2017 (8 years ago)
Financial Date End: 30 Sep 2025
Entity Number: 573309
Place of Formation: IDAHO
File Number: 573309
ZIP code: 83301
County: Twin Falls County
Principal Address: 115 FALLS AVENUE WEST TWIN FALLS, ID 83301
Mailing Address: 115 FALLS AVE W TWIN FALLS, ID 83301-3115

Agent

Name Role Address
REGISTERED AGENTS INC Agent 784 S CLEARWATER LOOP STE R, POST FALLS, ID 83854

Manager

Name Role Address Appointed On
Henry Peter Doble Manager 115 FALLS AVE W, TWIN FALLS, ID 83301-3115 2021-08-08
Henry Peter Doble II Manager 115 FALLS AVE W, TWIN FALLS, ID 83301-3115 2020-08-12
Henry Peter Doble II, M.D. Manager 115 FALLS AVE W, TWIN FALLS, ID 83301-3115 2024-08-04

Member

Name Role Address Appointed On
Rod Kack M.D. Member 115 FALLS AVE W, TWIN FALLS, ID 83301-3115 2024-08-04

National Provider Identifier

NPI Number:
1497745178
Certification Date:
2020-08-10

Authorized Person:

Name:
DEBORAH A WENSINK
Role:
ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
261QA1903X - Ambulatory Surgical Clinic/Center
Is Primary:
Yes

Contacts:

Fax:
2087341023

Filing

Filing Name Filing Number Filing date
Annual Report 0005839367 2024-08-04
Annual Report 0005357219 2023-08-08
Annual Report 0004851181 2022-08-06
Annual Report 0004373338 2021-08-08
Change of Registered Office/Agent/Both (by Entity) 0004152943 2021-02-03

USAspending Awards / Financial Assistance

Date:
2020-04-13
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:
210200.00
Total Face Value Of Loan:
210200.00

Paycheck Protection Program

Jobs Reported:
15
Initial Approval Amount:
$210,200
Date Approved:
2020-04-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$210,200
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$212,618.74
Servicing Lender:
D. L. Evans Bank
Use of Proceeds:
Payroll: $157,650
Utilities: $17,446.6
Mortgage Interest: $17,446.6
Healthcare: $17656.8

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Date of last update: 13 Aug 2025

Sources: Idaho Secretary of State