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CLEARWATER VALLEY HOSPITAL AND CLINICS, INC.

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Company Details

Name: CLEARWATER VALLEY HOSPITAL AND CLINICS, INC.
Jurisdiction: Idaho
Legal type: Non-Profit Corporation (D)
Status: Active-Good Standing
Date of registration: 10 Nov 1997 (28 years ago)
Financial Date End: 30 Nov 2025
Entity Number: 372860
Place of Formation: IDAHO
File Number: 372860
ZIP code: 83544
County: Clearwater County
Mailing Address: 301 CEDAR ST OROFINO, ID 83544-9029

Agent

Name Role Address
JOEL HAZEL Agent 2003 KOOTENAI HEALTH WAY, COEUR D ALENE, ID 83814

Director

Name Role Address Appointed On Resigned On
Matt Sartini Director 301 CEDAR, OROFINO, ID 83544 2020-11-27 2022-11-21
Cindy O'Brien Director 301 CEDAR STREET, OROFINO, ID 83544 2024-10-07 No data

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
XP68BK7UC4B8
CAGE Code:
3TCV0
UEI Expiration Date:
2025-12-03

Business Information

Activation Date:
2024-12-05
Initial Registration Date:
2004-03-30

National Provider Identifier

NPI Number:
1982073946

Authorized Person:

Name:
LENNE BONNER
Role:
ACTING PRESIDENT/CEO
Phone:

Taxonomy:

Selected Taxonomy:
282NC0060X - Critical Access Hospital
Is Primary:
Yes

Contacts:

Fax:
2084765385

Filing

Filing Name Filing Number Filing date
Annual Report 0005931999 2024-10-07
Application for Reinstatement 0005783268 2024-06-18
Dissolution/Revocation - Administrative 0005620796 2024-03-01
Annual Report 0004998742 2022-11-21
Annual Report 0004500601 2021-11-17

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:
2422902.00
Total Face Value Of Loan:
2422902.00
Date:
2010-07-29
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
SMALL HEALTH CARE PROVIDER QUALITY IMPROVEMENT
Obligated Amount:
300000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

Paycheck Protection Program

Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
2422902
Current Approval Amount:
2422902
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
2450649.21

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Date of last update: 03 Jun 2025

Sources: Idaho Secretary of State