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  5. IDAHO FALLS INFECTIOUS DISEASES, PLLC

IDAHO FALLS INFECTIOUS DISEASES, PLLC

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Company Details

Name: IDAHO FALLS INFECTIOUS DISEASES, PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 15 Nov 2002 (23 years ago)
Financial Date End: 30 Nov 2025
Entity Number: 77733
Place of Formation: IDAHO
File Number: 77733
ZIP code: 83404
County: Bonneville County
Principal Address: 2105 CORONADO ST IDAHO FALLS, ID 83404
Mailing Address: 955 PIER VIEW DR IDAHO FALLS, ID 83402-4918

Agent

Name Role Address
GUARDIAN REGISTERED AGENTS LLC Agent 955 PIER VIEW DR, IDAHO FALLS, ID 83402

Manager

Name Role Address Appointed On Resigned On
Martha Buitrago Manager 2900 CORTEZ, IDAHO FALLS, ID 83404 2023-11-30 2023-11-30
Richard Nathan Manager 2900 CORTEZ, IDAHO FALLS, ID 83404 2020-11-30 No data

National Provider Identifier

NPI Number:
1588672026
Certification Date:
2022-10-05
Link:
View on NPI website

Authorized Person:

Name:
DR. MARTHA I BUITRAGO
Role:
PARTNER/PHYSICIAN
Phone:
2085358400

Taxonomy:

Selected Taxonomy:
207RI0200X - Infectious Disease Physician
Is Primary:
Yes

Contacts:

Phone:
+1 208-535-8400
Fax:
2085358409

Form 5500 Series

Employer Identification Number (EIN):
841615375
Plan Year:
2023
Number Of Participants:
12
Sponsors Telephone Number:
2085358400
File:
View File
Plan Year:
2022
Number Of Participants:
10
Sponsors Telephone Number:
2085358400
File:
View File
Plan Year:
2021
Number Of Participants:
9
Sponsors Telephone Number:
2085358400
File:
View File
Plan Year:
2020
Number Of Participants:
10
Sponsors Telephone Number:
2085354680
File:
View File
Plan Year:
2019
Number Of Participants:
9
Sponsors Telephone Number:
2085354680
File:
View File

Filing

Filing Name Filing Number Filing date
Annual Report 0005996667 2024-11-30
Annual Report 0005491355 2023-11-30
Annual Report 0005002839 2022-11-29
Annual Report 0004508432 2021-11-30
Annual Report 0004076249 2020-11-30

USAspending Awards / Financial Assistance

Date:
2021-02-01
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:
52100.00
Total Face Value Of Loan:
52100.00
Date:
2020-04-13
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:
52100.00
Total Face Value Of Loan:
52100.00
Date:
2008-08-15
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
50000.00
Total Face Value Of Loan:
50000.00
Date:
2008-08-06
Link:
View on USAspending
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO ASSIST SMALL BUSINESS CONCERNS BY PROVIDING LONG TERM FINANCING THROUGH THE SALE OF DEBENTURES TO THE PRIVATE SECTOR
Obligated Amount:
0.00
Face Value Of Loan:
169000.00
Total Face Value Of Loan:
169000.00

Paycheck Protection Program

Date Approved:
2020-04-13
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
52100
Current Approval Amount:
52100
Race:
White
Ethnicity:
Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
52431.16
Date Approved:
2021-01-31
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
52100
Current Approval Amount:
52100
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
52446.86

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Date of last update: 26 May 2025

Sources: Idaho Secretary of State

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