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PAIN CARE CENTER BOISE, LLC

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Company Details

Name: PAIN CARE CENTER BOISE, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 03 Sep 2003 (22 years ago)
Financial Date End: 30 Sep 2025
Entity Number: 90641
Place of Formation: IDAHO
File Number: 90641
ZIP code: 83702
County: Ada County
Principal Address: 301 W MYRTLE ST. BOISE, ID 83702
Mailing Address: 301 W MYRTLE ST BOISE, ID 83702-7656

Member

Name Role Address Appointed On
William Binegar Member 301 W MYRTLE, BOISE, ID 83702 2020-08-05

Agent

Name Role Address
Christopher Vaughan Agent 4464 E PARKCENTER BLVD, BOISE, ID 83716

National Provider Identifier

NPI Number:
1619998648

Authorized Person:

Name:
WILLIAM G BINEGAR
Role:
PRESIDENT/OWNER
Phone:

Taxonomy:

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

Contacts:

Fax:
2083428202
Fax:
2083438202

Form 5500 Series

Employer Identification Number (EIN):
200197438
Plan Year:
2023
Number Of Participants:
12
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Amendment to Certificate 0005950865 2024-10-25
Change of Registered Office/Agent/Both (by Entity) 0005950871 2024-10-25
Annual Report 0005854608 2024-08-11
Annual Report 0005343612 2023-08-03
Annual Report 0004851364 2022-08-07

USAspending Awards / Financial Assistance

Date:
2020-04-15
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:
100920.00
Total Face Value Of Loan:
100920.00

Paycheck Protection Program

Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
100920
Current Approval Amount:
100920
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
101758.2

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Date of last update: 23 Jun 2025

Sources: Idaho Secretary of State