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IDAHO FALLS PULMONARY-SLEEP & CRITICAL CARE SPECIALISTS P.C.

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Company Details

Name: IDAHO FALLS PULMONARY-SLEEP & CRITICAL CARE SPECIALISTS P.C.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 27 Sep 2011 (14 years ago)
Financial Date End: 30 Sep 2025
Entity Number: 580901
Place of Formation: IDAHO
File Number: 580901
ZIP code: 83440
County: Madison County
Mailing Address: RICHARD B SMITH 15 W MAIN ST REXBURG, ID 83440-1824

Agent

Name Role Address
Richard B Smith Agent 15 WEST MAIN ST, REXBURG, ID 83440

President

Name Role Address Appointed On
Allen Salem President 15 W MAIN ST, REXBURG, ID 83440-1824 2020-08-03

National Provider Identifier

NPI Number:
1407124753

Authorized Person:

Name:
ALLEN J SALEM
Role:
OWNER/DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
207RP1001X - Pulmonary Disease Physician
Is Primary:
No
Selected Taxonomy:
207RS0012X - Sleep Medicine (Internal Medicine) Physician
Is Primary:
No
Selected Taxonomy:
207RC0200X - Critical Care Medicine (Internal Medicine) Physician
Is Primary:
Yes

Contacts:

Fax:
2085226101

Filing

Filing Name Filing Number Filing date
Annual Report 0005840083 2024-08-05
Annual Report 0005346540 2023-08-03
Annual Report 0004840630 2022-08-03
Annual Report 0004370535 2021-08-05
Annual Report 0003954752 2020-08-03

Paycheck Protection Program

Jobs Reported:
3
Initial Approval Amount:
$50,300
Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$50,200
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$50,714.38
Servicing Lender:
Bank of Idaho
Use of Proceeds:
Payroll: $50,200

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Date of last update: 04 Jul 2025

Sources: Idaho Secretary of State