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PORTNEUF HEALTH TRUST, INC.

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Company Details

Name: PORTNEUF HEALTH TRUST, INC.
Jurisdiction: Idaho
Legal type: Non-Profit Corporation (D)
Status: Active-Good Standing
Date of registration: 19 Dec 2002 (23 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 446825
Place of Formation: IDAHO
File Number: 446825
ZIP code: 83201
County: Bannock County
Mailing Address: CLARK BITTON STE 503 500 S 11TH AVE POCATELLO, ID 83201-4881

Agent

Name Role Address
SHAUN MENCHACA Agent 500 S 11TH AVE STE 503, POCATELLO, ID 83201

President

Name Role Address Appointed On
Shaun Menchaca President 500 SOUTH 11TH AVE, POCATELLO, ID 83201 2020-11-03

Unique Entity ID

CAGE Code:
42RA2
UEI Expiration Date:
2020-07-14

Business Information

Activation Date:
2019-07-15
Initial Registration Date:
2005-08-01

Commercial and government entity program

CAGE number:
42RA2
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2022-06-23
CAGE Expiration:
2026-05-19
SAM Expiration:
2022-06-17

Contact Information

POC:
CLARK BITTON
Corporate URL:
www.portneufhealthtrust.org

Form 5500 Series

Employer Identification Number (EIN):
481289745
Plan Year:
2018
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2015
Number Of Participants:
2
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0005997612 2024-12-02
Annual Report 0005519955 2023-12-18
Annual Report 0004969158 2022-11-03
Annual Report 0004474497 2021-11-01
Annual Report 0004047933 2020-11-03

USAspending Awards / Contracts

Procurement Instrument Identifier:
VA660C13088
Award Or Idv Flag:
AWARD
Award Type:
PO
Action Obligation:
71862.00
Base And Exercised Options Value:
71862.00
Base And All Options Value:
71862.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2010-10-01
Description:
LABS AND X-RAYS FOR POCATELLO CBOC.
Naics Code:
621511: MEDICAL LABORATORIES
Product Or Service Code:
Q301: LABORATORY TESTING SERVICES
Procurement Instrument Identifier:
VA660C03206
Award Or Idv Flag:
AWARD
Award Type:
PO
Action Obligation:
69530.11
Base And Exercised Options Value:
69530.11
Base And All Options Value:
69530.11
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2009-10-01
Description:
PAYMENT OF LABS AND X-RAYS FOR POCATELLO
Naics Code:
923140: ADMINISTRATION OF VETERANS' AFFAIRS
Product Or Service Code:
M141: OPER OF GOVT HOSPITALS & INFIRMARY
Procurement Instrument Identifier:
VA660C93172
Award Or Idv Flag:
AWARD
Award Type:
DEFINITIVE CONTRACT
Action Obligation:
14044.82
Base And Exercised Options Value:
14044.82
Base And All Options Value:
14044.82
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2008-10-01
Description:
LAB TESTS
Naics Code:
621511: MEDICAL LABORATORIES
Product Or Service Code:
Q999: OTHER MEDICAL SERVICES

USAspending Awards / Financial Assistance

Date:
2008-08-26
Awarding Agency Name:
Department of Health and Human Services
Transaction Description:
CONGRESSIONALLY-MANDATED HEALTH INFORMATION TECHNOLOGY GRANTS
Obligated Amount:
331692.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00

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Date of last update: 22 Jul 2025

Sources: Idaho Secretary of State