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ST. LUKE'S CLINIC COORDINATED CARE, LTD.

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Company Details

Name: ST. LUKE'S CLINIC COORDINATED CARE, LTD.
Jurisdiction: Idaho
Legal type: Non-Profit Corporation (D)
Status: Active-Good Standing
Date of registration: 01 May 2012 (13 years ago)
Financial Date End: 31 May 2025
Entity Number: 587262
Place of Formation: IDAHO
File Number: 587262
ZIP code: 83712
County: Ada County
Mailing Address: 190 E BANNOCK ST BOISE, ID 83712-6241

Agent

Name Role Address
CHRISTINE NEUHOFF Agent 815 E PARK BLVD, BOISE, ID 83712

President

Name Role Address Appointed On Resigned On
Amy Gonzales President 190 E. BANNOCK, BOISE, ID 83712 2022-06-01 No data
Matt Wolff President 190 E. BANNOCK, BOISE, ID 83712 2021-06-09 2022-06-01

Secretary

Name Role Address Appointed On
Peg Dougherty Secretary 190 E. BANNOCK, BOISE, ID 83712 2024-05-23

Director

Name Role Address Appointed On
Jason Bronner MD Director 190 E. BANNOCK, BOISE, ID 83712 2024-05-23
Brian Fortuin MD Director 190 E. BANNOCK, BOISE, ID 83712 2024-05-23
Robert Cavagnol MD Director 190 E. BANNOCK, BOISE, ID 83712 2024-05-23
Robert Ohlensehlen Director 190 E. BANNOCK, BOISE, ID 83712 2024-05-23
Cynthia York Director 190 E. BANNOCK, BOISE, ID 83712 2024-05-23
Sandee Gehrke Director 190 E. BANNOCK, BOISE, ID 83712 2024-05-23
Bryan Mason Director 190 E BANNOCK ST, BOISE, ID 83712-6241 2024-05-23

Treasurer

Name Role Address Appointed On
Ariel Jenkinson Treasurer 190 E BANNOCK ST, BOISE, ID 83712-6241 2024-05-23

Filing

Filing Name Filing Number Filing date
Annual Report 0005746512 2024-05-23
Annual Report 0005206104 2023-04-19
Annual Report 0004762849 2022-06-01
Annual Report 0004310936 2021-06-09
Annual Report 0003853129 2020-04-27

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Date of last update: 15 May 2025

Sources: Idaho Secretary of State