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LOST RIVERS DISTRICT HOSPITAL, INC.

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Company Details

Name: LOST RIVERS DISTRICT HOSPITAL, INC.
Jurisdiction: Idaho
Legal type: Non-Profit Corporation (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 21 Apr 2014 (11 years ago)
Financial Date End: 30 Apr 2019
Date dissolved: 14 Jul 2019
Entity Number: 608890
Place of Formation: IDAHO
File Number: 608890
ZIP code: 83213
County: Butte County
Mailing Address: PO BOX 145 ARCO, ID 83213

Agent

Name Role Address
LEEANN BETZER Agent 551 HIGHLAND DR, ARCO, ID 83213

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
T6TFDJ37MAB3
CAGE Code:
8Q4Q9
UEI Expiration Date:
2024-04-30

Business Information

Activation Date:
2023-05-03
Initial Registration Date:
2020-08-27

National Provider Identifier

NPI Number:
1285747055

Authorized Person:

Name:
MR. BRAD HUERTA
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
315D00000X - Inpatient Hospice
Is Primary:
Yes

Contacts:

Fax:
2085273105

Form 5500 Series

Employer Identification Number (EIN):
820251526
Plan Year:
2016
Number Of Participants:
54
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0003569422 2019-07-14
Annual Report 0003278629 2018-04-24
Annual Report 0003278628 2017-04-30
Annual Report 0003278627 2016-05-23
Annual Report 0003278626 2015-02-17

USAspending Awards / Financial Assistance

Date:
2020-04-29
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
634100.00
Total Face Value Of Loan:
634100.00

Paycheck Protection Program

Date Approved:
2020-04-29
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
634100
Current Approval Amount:
634100
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
637470.28

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Date of last update: 15 May 2025

Sources: Idaho Secretary of State