Search icon

ST. LUKE'S MAGIC VALLEY REGIONAL MEDICAL CENTER, LTD.

Company claim

Is this your business?

Get access!

Company Details

Name: ST. LUKE'S MAGIC VALLEY REGIONAL MEDICAL CENTER, LTD.
Jurisdiction: Idaho
Legal type: Non-Profit Corporation (D)
Status: Active-Good Standing
Date of registration: 13 Mar 2006 (19 years ago)
Financial Date End: 31 Mar 2026
Entity Number: 502252
Place of Formation: IDAHO
File Number: 502252
ZIP code: 83712
County: Ada County
Mailing Address: 190 E BANNOCK ST BOISE, ID 83712-6241

Agent

Name Role Address
CHRISTINE NEUHOFF Agent 190 E. BANNOCK, BOISE, ID 83712

President

Name Role Address Appointed On
Chris Roth President 190 E. BANNOCK, BOISE, ID 83712 2021-02-16

Director

Name Role Address Appointed On Resigned On
Lucie DiMaggio, MD Director 190 E. BANNOCK, BOISE, ID 83712 2024-02-28 2024-02-28
Bob Lokken Director 190 E. BANNOCK, BOISE, ID 83712 2024-02-28 2024-02-28
Tom Corrick Director 190 E. BANNOCK, BOISE, ID 83712 2024-02-28 2024-02-28
Mark Durcan Director 190 E. BANNOCK, BOISE, ID 83712 2024-02-28 2024-02-28
Lisa Grow Director 190 E. BANNOCK, BOISE, ID 83712 2024-02-28 2024-02-28
Dan Krahn Director 190 E. BANNOCK, BOISE, ID 83712 2024-02-28 2024-02-28
Rich Raimondi Director 190 E. BANNOCK, BOISE, ID 83712 2024-02-28 2024-02-28
Andy Scoggin Director 190 E. BANNOCK, BOISE, ID 83712 2024-02-28 2024-02-28
Emily Baker Director 190 E. BANNOCK, BOISE, ID 83712 2024-02-28 2024-02-28
Rosa Davila Director 190 E. BANNOCK, BOISE, ID 83712 2024-02-28 2024-02-28

Secretary

Name Role Address Appointed On Resigned On
Christy Neuhoff Secretary 190 E. BANNOCK, BOISE, ID 83712 2024-02-28 2024-02-28

Treasurer

Name Role Address Appointed On Resigned On
Kate Fowler Treasurer 190 E. BANNOCK, BOISE, ID 83712 2024-02-28 2024-02-28

Unique Entity ID

Unique Entity ID:
G3LQHNRUWCJ3
CAGE Code:
4L9X6
UEI Expiration Date:
2026-01-02

Business Information

Activation Date:
2025-01-06
Initial Registration Date:
2006-11-08

Commercial and government entity program

CAGE number:
4L9X6
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-01-06
CAGE Expiration:
2030-01-06
SAM Expiration:
2026-01-02

Contact Information

POC:
KRISTIN MCGEE
Corporate URL:
http://www.stlukesonline.org

National Provider Identifier

NPI Number:
1760203921
Certification Date:
2025-02-19

Authorized Person:

Name:
KELLY CURTIS
Role:
CHIEF PHARMACY OFFICER
Phone:

Taxonomy:

Selected Taxonomy:
333600000X - Pharmacy
Is Primary:
No
Selected Taxonomy:
3336C0003X - Community/Retail Pharmacy
Is Primary:
Yes

Contacts:

Fax:
2082057778
Fax:
2088141276

Filing

Filing Name Filing Number Filing date
Annual Report 0006147036 2025-03-07
Annual Report 0005615998 2024-02-28
Change of Registered Office/Agent/Both (by Entity) 0005442918 2023-10-24
Annual Report Amendment 0005269406 2023-06-06
Annual Report 0005102884 2023-02-08

USAspending Awards / Contracts

Procurement Instrument Identifier:
W912J711P0011
Award Or Idv Flag:
AWARD
Award Type:
PURCHASE ORDER
Action Obligation:
3863.64
Base And Exercised Options Value:
3863.64
Base And All Options Value:
3863.64
Awarding Agency Name:
Department of Defense
Performance Start Date:
2011-01-19
Description:
CARDIAC STRESS&INTERPRETATION
Naics Code:
622110: GENERAL MEDICAL AND SURGICAL HOSPITALS
Product Or Service Code:
Q502: CARDIO-VASCULAR SERVICES
Procurement Instrument Identifier:
W912J710P0027
Award Or Idv Flag:
AWARD
Award Type:
PURCHASE ORDER
Action Obligation:
3667.07
Base And Exercised Options Value:
3667.07
Base And All Options Value:
3667.07
Awarding Agency Name:
Department of Defense
Performance Start Date:
2009-12-22
Description:
CARDIO SERVICES FOR MANUEL JASSO
Naics Code:
622110: GENERAL MEDICAL AND SURGICAL HOSPITALS
Product Or Service Code:
Q201: GENERAL HEALTH CARE SERVICES
Procurement Instrument Identifier:
VA531C09087
Award Or Idv Flag:
AWARD
Award Type:
PO
Action Obligation:
2000.00
Base And Exercised Options Value:
2000.00
Base And All Options Value:
2000.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2009-10-01
Description:
LAB TESTING
Naics Code:
622110: GENERAL MEDICAL AND SURGICAL HOSPITALS
Product Or Service Code:
Q301: LABORATORY TESTING SERVICES

Tax Exempt

Employer Identification Number (EIN) :
56-2570686
In Care Of Name:
% PETER DIDIO
Classification:
Government Instrumentality, Title-Holding Corporation, Charitable Organization, Agricultural Organization, Board of Trade, Pleasure, Recreational, or Social Club, Fraternal Beneficiary Society, Order or Association, Voluntary Employees' Beneficiary Association (Non-Govt. Emps.), Domestic Fraternal Societies and Associations, Teachers Retirement Fund Assoc., Benevolent Life Insurance Assoc., Burial Association, Credit Union, Mutual Insurance Company or Assoc. Other Than Life or Marine, Corp. Financing Crop Operations, Supplemental Unemployment Compensation Trust or Plan, Employee Funded Pension Trust (Created Before 6/25/59), Post or Organization of War Veterans, Legal Service Organization, Black Lung Trust, Multiemployer Pension Plan, Veterans Assoc. Formed Prior to 1880, Trust Described in Sect. 4049 of ERISA, Title Holding Co. for Pensions, etc., State-Sponsored High Risk Health Insurance Organizations, State-Sponsored Workers' Compensation Reinsurance, ACA 1322 Qualified Nonprofit Health Insurance Issuers, Apostolic and Religious Org. (501(d)), Cooperative Hospital Service Organization (501(e)), Cooperative Service Organization of Operating Educational Organization (501(f)), Child Care Organization (501(k)), Charitable Risk Pool, Qualified State-Sponsored Tuition Program, 4947(a)(1) - Private Foundation (Form 990PF Filer)
Ruling Date:
2007-02
National Taxonomy Of Exempt Entities:
Health Care: Hospitals and Related Primary Medical Care Facilities
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Reviews Leave a review

This company hasn't received any reviews.

Date of last update: 02 Jul 2025

Sources: Idaho Secretary of State