| Name: | West Shoshone Hospital District #1 |
| Jurisdiction: | Idaho |
| Legal type: | Unincorporated Nonprofit Association (D) |
| Status: | Active-Current |
| Date of registration: | 21 Sep 2020 (5 years ago) |
| Entity Number: | 4008285 |
| Place of Formation: | IDAHO |
| File Number: | 726612 |
| ZIP code: | 83837 |
| County: | Shoshone County |
| Principal Address: | 25 JACOBS GULCH KELLOGG, ID 83837 |
| Mailing Address: | DONJA ERDMAN 25 JACOBS GULCH RD KELLOGG, ID 83837-2023 |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Y2VFPYKWJF29 | 2025-04-03 | 25 JACOBS GULCH RD, KELLOGG, ID, 83837, 2023, USA | 25 JACOBS GULCH, KELLOGG, ID, 83837, USA | |||||||||||||||||||||||||||||||||||||
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| Division Name | SHOSHONE MEDICAL CENTER |
| Congressional District | 01 |
| State/Country of Incorporation | ID, USA |
| Activation Date | 2024-04-05 |
| Initial Registration Date | 2020-08-28 |
| Entity Start Date | 1955-08-22 |
| Fiscal Year End Close Date | Nov 30 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | DONJA ERDMAN |
| Address | 25 JACOBS GULCH, KELLOGG, ID, 83837, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | DONJA ERDMAN |
| Address | 25 JACOBS GULCH, KELLOGG, ID, 83837, USA |
| Past Performance | Information not Available |
|---|
| Name | Role | Address |
|---|---|---|
| Donja Erdman | Agent | 25 JACOBS GULCH, KELLOGG, ID 83837 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Initial Filing | 0004008285 | 2020-09-21 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 6207558007 | 2020-06-29 | 1094 | PPP | 25 JACOBS GULCH RD, KELLOGG, ID, 83837-2023 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 15 Apr 2025
Sources: Idaho Secretary of State
