| Name: | SELECT MEDICAL NETWORK OF IDAHO, INC. |
| Jurisdiction: | Idaho |
| Legal type: | Non-Profit Corporation (D) |
| Status: | Active-Good Standing |
| Date of registration: | 12 Dec 2002 (22 years ago) |
| Financial Date End: | 31 Dec 2025 |
| Entity Number: | 446343 |
| Place of Formation: | IDAHO |
| File Number: | 446343 |
| ZIP code: | 83712 |
| County: | Ada County |
| Mailing Address: | 190 E BANNOCK ST BOISE, ID 83712-6241 |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||
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| D7PDDDC12233 | 2024-03-20 | 190 E BANNOCK ST, BOISE, ID, 83712, 6241, USA | 190 E BANNOCK ST, BOISE, ID, 83712, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Doing Business As | ST. LUKE'S HEALTH PARTNERS |
| Congressional District | 02 |
| State/Country of Incorporation | ID, USA |
| Activation Date | 2023-03-22 |
| Initial Registration Date | 2014-12-03 |
| Entity Start Date | 2002-12-12 |
| Fiscal Year End Close Date | Sep 30 |
Service Classifications
| NAICS Codes | 622110 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | AMY COOPER |
| Role | GRANT SPECIALIST 1 |
| Address | 190 E. BANNOCK ST., BOISE, ID, 83703, 6241, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | KRISTIN MCGEE |
| Role | SR MANAGER SPONSORED PROJECTS |
| Address | 190 E BANNOCK ST, BOISE, ID, 83712, 6241, USA |
| Title | ALTERNATE POC |
| Name | TERRI LAWRENCE |
| Role | MANAGER, SPONSORED PROJECTS |
| Address | 190 E. BANNOCK ST., BOISE, ID, 83712, USA |
| Past Performance | Information not Available |
|---|
| Name | Role | Address |
|---|---|---|
| CHRISTINE S NEUHOFF, ESQ | Agent | 190 E BANNOCK ST, BOISE, ID 83712 |
| Name | Role | Address | Appointed On | Resigned On |
|---|---|---|---|---|
| Amy Gonzalez | President | 190 E. BANNOCK, BOISE, ID 83712 | 2023-02-08 | No data |
| Chris Roth | President | 190 E. BANNOCK, BOISE, ID 83712 | 2020-12-23 | 2021-12-06 |
| Name | Role | Address | Appointed On | Resigned On |
|---|---|---|---|---|
| Chris Roth | Director | 190 E. BANNOCK, BOISE, ID 83712 | 2021-12-06 | 2023-02-08 |
| Robert Cavagnol MD | Director | 190 E. BANNOCK, BOISE, ID 83712 | 2024-01-02 | 2024-01-02 |
| Dick Armstrong | Director | 190 E. BANNOCK, BOISE, ID 83712 | 2024-01-02 | 2024-01-02 |
| Randell Page DO | Director | 190 E. BANNOCK, BOISE, ID 83712 | 2024-01-02 | 2024-01-02 |
| Jim Giuffre | Director | 190 E. BANNOCK, BOISE, ID 83712 | 2024-01-02 | 2024-01-02 |
| Brian Fortuin MD | Director | 190 E. BANNOCK, BOISE, ID 83712 | 2024-01-02 | 2024-01-02 |
| Casi Wyatt DO | Director | 190 E. BANNOCK, BOISE, ID 83712 | 2024-01-02 | 2024-01-02 |
| April Dillion DO | Director | 190 E. BANNOCK, BOISE, ID 83712 | 2024-01-02 | 2024-01-02 |
| Ernest Blackwelder | Director | 190 E. BANNOCK, BOISE, ID 83712 | 2024-01-02 | 2024-01-02 |
| Dee Jay Mailer | Director | 190 E. BANNOCK ST., BOISE, ID 83712 | 2024-01-02 | 2024-01-02 |
| Name | Role | Address | Appointed On | Resigned On |
|---|---|---|---|---|
| Ben Keith | Secretary | 190 E. BANNOCK, BOISE, ID 83712 | 2024-01-02 | 2024-01-02 |
| Name | Role | Address | Appointed On | Resigned On |
|---|---|---|---|---|
| Shelby Hendrickson | Treasurer | 190 E. BANNOCK, BOISE, ID 83712 | 2024-01-02 | 2024-01-02 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0006031492 | 2024-12-19 |
| Annual Report | 0005533263 | 2024-01-02 |
| Change of Registered Office/Agent/Both (by Entity) | 0005442869 | 2023-10-24 |
| Annual Report | 0005102827 | 2023-02-08 |
| Annual Report | 0004519151 | 2021-12-06 |
| Annual Report | 0004107111 | 2020-12-23 |
| Annual Report | 0003686662 | 2019-11-26 |
| Annual Report | 0003424882 | 2019-02-07 |
| Annual Report | 0002891078 | 2017-12-27 |
| Annual Report | 0002891075 | 2017-02-02 |
Date of last update: 20 Dec 2024
Sources: Idaho Secretary of State
