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

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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

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

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Date of last update: 12 May 2025

Sources: Idaho Secretary of State