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ST. LUKE'S CLINIC - WOOD RIVER, L.L.C.

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Company Details

Name: ST. LUKE'S CLINIC - WOOD RIVER, L.L.C.
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 08 Jul 2011 (14 years ago)
Financial Date End: 31 Jul 2025
Entity Number: 323516
Place of Formation: IDAHO
File Number: 323516
ZIP code: 83712
County: Ada County
Principal Address: 190 E BANNOCK ST BOISE, ID 83712
Mailing Address: 190 E BANNOCK ST BOISE, ID 83712-6241

Agent

Name Role Address
CHRISTINE S NEUHOFF Agent 190 E. BANNOCK, BOISE, ID 83712

Member

Name Role Address Appointed On
St. Luke's Wood River Medical Center, Ltd. Member 100 HOSPITAL DR., KETCHUM, ID 83340 2020-06-29

National Provider Identifier

NPI Number:
1972891604
Certification Date:
2022-12-08

Authorized Person:

Name:
KATHRYN FOWLER
Role:
SENIOR VP, CFO
Phone:

Taxonomy:

Selected Taxonomy:
207L00000X - Anesthesiology Physician
Is Primary:
No
Selected Taxonomy:
207P00000X - Emergency Medicine Physician
Is Primary:
No
Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
207V00000X - Obstetrics & Gynecology Physician
Is Primary:
No
Selected Taxonomy:
207X00000X - Orthopaedic Surgery Physician
Is Primary:
No

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0005821265 2024-07-16
Change of Registered Office/Agent/Both (by Entity) 0005442909 2023-10-24
Change of Registered Office/Agent/Both (by Entity) 0005442878 2023-10-24
Annual Report 0005335617 2023-07-31
Annual Report 0004798454 2022-06-30

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Date of last update: 19 Jul 2025

Sources: Idaho Secretary of State