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  5. IDAHO GASTROENTEROLOGY ASSOCIATES, LLP

IDAHO GASTROENTEROLOGY ASSOCIATES, LLP

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Company Details

Name: IDAHO GASTROENTEROLOGY ASSOCIATES, LLP
Jurisdiction: Idaho
Legal type: Limited Liability Partnership (D)
Status: Active-Existing
Date of registration: 23 Jul 1996 (29 years ago)
Financial Date End: 31 Jul 2026
Entity Number: 648
Place of Formation: IDAHO
File Number: 648
ZIP code: 83702
County: Ada County
Principal Address: 425 W BANNOCK BOISE, ID 83702
Mailing Address: 425 W BANNOCK ST BOISE, ID 83702-6035

Agent

Name Role Address
Brian Story Agent 425 W BANNOCK ST, BOISE, ID 83702-6035

Officer

Name Role Address Appointed On Resigned On
Christopher W Hammerle Officer 425 W BANNOCK ST, BOISE, ID 83702 2020-07-21 No data
David W Wood Officer 425 W BANNOCK ST, BOISE, ID 83702-6035 2023-06-23 2024-07-24
Philip D Jensen Officer 425 W BANNOCK ST, BOISE, ID 83702-6035 2023-06-23 2024-07-24
Bonnie Kim Waite Officer 425 W BANNOCK ST, BOISE, ID 83702-6035 2023-06-23 2024-07-24
Matthew R Sericati Officer 425 W BANNOCK ST, BOISE, ID 83702-6035 2023-06-23 2024-07-24
Akshay K Gupta Officer 425 W BANNOCK ST, BOISE, ID 83702-6035 2023-06-23 2024-07-24
Kirsten Morigeau Officer 425 W. BANNOCK ST., BOISE, ID 83702 2023-06-23 2024-07-24
Robert Lockwood Officer 425 W. BANNOCK ST., BOISE, ID 83702 2023-06-23 2024-07-24
Errin McCoy Officer 425 W. BANNOCK ST., BOISE, ID 83702 2023-06-23 2024-07-24
Justin Tomal Officer 425 W. BANNOCK ST., BOISE, ID 83702 2023-06-23 2024-07-24

Unique Entity ID

CAGE Code:
3QNG1
UEI Expiration Date:
2020-07-13

Business Information

Activation Date:
2019-05-15
Initial Registration Date:
2004-02-04

Commercial and government entity program

CAGE number:
3QNG1
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2023-04-29
CAGE Expiration:
2027-04-01
SAM Expiration:
2023-04-29

Contact Information

POC:
CYNTHIA ESPINOSA

National Provider Identifier

NPI Number:
1265427256
Certification Date:
2024-02-12
Link:
View on NPI website

Authorized Person:

Name:
REBECCA BUTTERFIELD
Role:
CREDENTIALING MANAGER
Phone:
2084891431

Taxonomy:

Selected Taxonomy:
207RG0100X - Gastroenterology Physician
Is Primary:
Yes

Contacts:

Phone:
+1 208-343-1702
Fax:
2083427042

Filing

Filing Name Filing Number Filing date
Annual Report 0006333490 2025-07-01
Annual Report 0005828095 2024-07-24
Annual Report 0005292193 2023-06-23
Annual Report 0004823296 2022-07-14
Annual Report 0004318931 2021-06-16

USAspending Awards / Contracts

Procurement Instrument Identifier:
36C26022N0078
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
-450617.09
Base And Exercised Options Value:
-450617.09
Base And All Options Value:
-450617.09
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2021-10-01
Description:
GASTROENTEROLOGY SERVICES
Naics Code:
621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product Or Service Code:
Q505: MEDICAL- GASTROENTEROLOGY
Procurement Instrument Identifier:
36C26021N0017
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
-350000.00
Base And Exercised Options Value:
0.00
Base And All Options Value:
0.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2020-10-01
Description:
GASTROENTEROLOGY SERVICES
Naics Code:
621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product Or Service Code:
Q505: MEDICAL- GASTROENTEROLOGY
Procurement Instrument Identifier:
36C26020N0007
Link:
View Award on USAspending website
Award Or Idv Flag:
AWARD
Award Type:
DELIVERY ORDER
Action Obligation:
-1000000.00
Base And Exercised Options Value:
-1000000.00
Base And All Options Value:
-1000000.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2019-10-01
Description:
GASTROENTEROLOGY SERVICES
Naics Code:
621111: OFFICES OF PHYSICIANS (EXCEPT MENTAL HEALTH SPECIALISTS)
Product Or Service Code:
Q505: MEDICAL- GASTROENTEROLOGY

USAspending Awards / Financial Assistance

Date:
2020-04-11
Link:
View on USAspending
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:
1605100.00
Total Face Value Of Loan:
1605100.00

Paycheck Protection Program

Jobs Reported:
87
Initial Approval Amount:
$1,605,100
Date Approved:
2020-04-10
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$1,605,100
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
$1,616,137.81
Servicing Lender:
Idaho Central CU
Use of Proceeds:
Payroll: $1,203,825
Utilities: $200,637.5
Rent: $200,637.5

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Related by address

425 W BANNOCK BOISE, ID 83702

JONES CLINIC, LLP RICHARD F. UHLMANN, M.D., CHARTERED JUDITH A. WOODS, M.D., P.A.

425 W BANNOCK ST BOISE, ID 83702-6035

PHILIP D. JENSEN, M.D., CHARTERED MATTHEW R. SERICATI, MD CHARTERED CHRISTOPHER W. HAMMERLE, M.D., CHARTERED Robert A. Lockwood, M.D., Chartered Erin M. McCoy, M.D., Chartered Justin R. Tomal, M.D., Chartered Gastro Health of Idaho LLC

Date of last update: 13 Jul 2025

Sources: Idaho Secretary of State

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