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ST. LUKE'S FAMILY HEALTH, LLC

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Company Details

Name: ST. LUKE'S FAMILY HEALTH, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 28 Jan 1999 (26 years ago)
Financial Date End: 31 Jan 2013
Date dissolved: 15 Apr 2013
Entity Number: 39691
Place of Formation: IDAHO
File Number: 0000039691
ZIP code: 83642
County: Ada County
Principal Address: 3090 GENTRY WAY STE 200 MERIDIAN, ID 83642

National Provider Identifier

NPI Number:
1649220385

Authorized Person:

Name:
CAROL JOHNSON
Role:
ASSISTANT ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
2088870810

Filing

Filing Name Filing Number Filing date
Annual Report 0001076363 2011-11-14
Annual Report 0001076362 2011-01-20
Annual Report 0001076361 2009-11-17
Annual Report 0001076365 2008-12-05
Annual Report 0001076364 2007-11-27

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Date of last update: 23 Sep 2024

Sources: Idaho Secretary of State