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VISION QUEST MEDICAL CENTER, P.A.

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Company Details

Name: VISION QUEST MEDICAL CENTER, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 29 Jun 2017 (8 years ago)
Financial Date End: 30 Jun 2026
Entity Number: 631793
Place of Formation: IDAHO
File Number: 631793
ZIP code: 83706
County: Ada County
Mailing Address: 5680 W GAGE ST BOISE, ID 83706-1326

Agent

Name Role Address
JACOB A MONG DO Agent 5680 GAGE ST, BOISE, ID 83706

Secretary

Name Role Address Appointed On Resigned On
LEAH MONG Secretary 2395 W CONIFER, EAGLE, ID 83616 2024-05-06 2024-05-06

President

Name Role Address Appointed On
JACOB MONG President 5680 W GAGE ST, BOISE, ID 83706 2020-07-06

National Provider Identifier

NPI Number:
1790330637

Authorized Person:

Name:
CINDY L CLANCY
Role:
PRACTICE ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
207W00000X - Ophthalmology Physician
Is Primary:
Yes

Contacts:

Fax:
2083779455

Form 5500 Series

Employer Identification Number (EIN):
822064279
Plan Year:
2024
Number Of Participants:
1
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
31
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
36
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
28
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
29
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006235320 2025-05-05
Annual Report 0005725840 2024-05-06
Annual Report 0005220904 2023-05-03
Annual Report 0004725179 2022-05-03
Annual Report 0004264292 2021-05-03

Paycheck Protection Program

Jobs Reported:
25
Initial Approval Amount:
$302,318.51
Date Approved:
2020-04-07
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$302,319
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$304,505.64
Servicing Lender:
First Interstate Bank
Use of Proceeds:
Payroll: $302,319

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Date of last update: 06 Jul 2025

Sources: Idaho Secretary of State