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LEWIS & CLARK ORTHOPAEDIC INSTITUTE, LLC

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Company Details

Name: LEWIS & CLARK ORTHOPAEDIC INSTITUTE, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 28 Jul 2003 (22 years ago)
Financial Date End: 31 Jul 2026
Entity Number: 89131
Place of Formation: IDAHO
File Number: 89131
ZIP code: 83501
County: Nez Perce County
Principal Address: 318 WARNER DR LEWISTON, ID 83501
Mailing Address: HELEN KENYON 318 WARNER DR LEWISTON, ID 83501-4441

Agent

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

Member

Name Role Address Appointed On Resigned On
Bryan J. Beardsley Member 320 WARNER DR, LEWISTON, ID 83501 2021-06-03 No data
Regan B. Hansen Member 320 WARNER DR, LEWISTON, ID 83501 2023-07-27 2024-06-10
Gregory D. Dietrich Member 320 WARNER DR, LEWISTON, ID 83501 2023-07-27 2024-06-10
Steven R. Boyea Member 320 WARNER DR, LEWISTON, ID 83501 2023-07-27 2024-06-10
John Adam Jelinek Member 320 WARNER DR, LEWISTON, ID 83501 2023-07-27 2024-06-10
Jeff D. Burry Member 330 WARNER DR, LEWISTON, ID 83501 2023-07-27 2024-06-10
Sennett A. Pierce Member 330 WARNER DR, LEWISTON, ID 83501 2023-07-27 2024-06-10
DeWayne Weaver Member 320 WARNER DR, LEWISTON, ID 83501 2023-07-27 2024-06-10

National Provider Identifier

NPI Number:
1922093293

Authorized Person:

Name:
MRS. CINDY L KEENE
Role:
CEO
Phone:

Taxonomy:

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

Contacts:

Fax:
2082981060

Form 5500 Series

Employer Identification Number (EIN):
352210163
Plan Year:
2018
Number Of Participants:
82
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0006313473 2025-06-11
Change of Registered Office/Agent/Both (by Entity) 0005974628 2024-11-14
Annual Report 0005771527 2024-06-10
Annual Report 0005333451 2023-07-27
Annual Report 0004774397 2022-06-07

USAspending Awards / Financial Assistance

Date:
2020-04-09
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:
230307.50
Total Face Value Of Loan:
230307.50

Paycheck Protection Program

Jobs Reported:
16
Initial Approval Amount:
$230,307.5
Date Approved:
2020-04-08
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$230,307.5
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Unanswered
Forgiveness Amount:
$231,727.2
Servicing Lender:
Numerica CU
Use of Proceeds:
Payroll: $230,307.5

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Date of last update: 30 Jul 2025

Sources: Idaho Secretary of State