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ST. LUKE'S CLINIC, LLC

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Company Details

Name: ST. LUKE'S CLINIC, LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 11 Dec 2000 (24 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 55243
Place of Formation: IDAHO
File Number: 55243
ZIP code: 83712
County: Ada County
Principal Address: PO BOX 409 TWIN FALLS, ID 83303
Mailing Address: TAMI NORVELL 190 E BANNOCK ST BOISE, ID 83712-6241

Agent

Name Role Address
Christine Neuhoff Agent 190 E BANNOCK ST, BOISE, ID 83712-6241

Member

Name Role Address Appointed On
St. Luke's Magic Valley Regional Medical Center, Ltd. Member 190 E. BANNOCK, BOISE, ID 83712 2021-01-21

National Provider Identifier

NPI Number:
1407283443

Authorized Person:

Name:
JEFF TAYLOR
Role:
SR VP/CFO
Phone:

Taxonomy:

Selected Taxonomy:
261QR1300X - Rural Health Clinic/Center
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0006031408 2024-12-19
Annual Report 0005533269 2024-01-02
Annual Report 0005102940 2023-02-08
Annual Report 0004519156 2021-12-06
Annual Report 0004140151 2021-01-21

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Date of last update: 25 May 2025

Sources: Idaho Secretary of State