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  5. SAINT ALPHONSUS MEDICAL CENTER-ONTARIO, INC.

SAINT ALPHONSUS MEDICAL CENTER-ONTARIO, INC.

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Company Details

Name: SAINT ALPHONSUS MEDICAL CENTER-ONTARIO, INC.
Jurisdiction: Idaho
Legal type: Foreign Nonprofit Corporation
Status: Active-Good Standing
Date of registration: 10 Mar 2015 (10 years ago)
Financial Date End: 31 Mar 2026
Entity Number: 618479
Place of Formation: OREGON
File Number: 618479
ZIP code: 83706
County: Ada County
Principal Address: 1055 N CURTIS RD BOISE, ID 83706
Mailing Address: STEPHANIE C. WESTERMEIER 1055 N CURTIS RD BOISE, ID 83706-1309

Agent

Name Role Address
C T CORPORATION SYSTEM Agent 1555 W SHORELINE DR, STE 100, BOISE, ID 83702

President

Name Role Address Appointed On
DINA ELLWANGER President 351 SW 9TH STREET, ONTARIO, OR 97914 2021-03-29

Director

Name Role Address Appointed On Resigned On
MICHAEL COUGHLIN, M.D. Director 1055 N CURTIS ROAD, BOISE, ID 83706 2024-03-12 2024-03-12
KIRK JACOBSON Director 1055 N CURTIS ROAD, BOISE, ID 83706 2024-03-12 2024-03-12
ADAM RICHINS Director 1055 N CURTIS ROAD, BOISE, ID 83706 2024-03-12 2024-03-12
SR. GERALDINE HOYLER Director 1055 N CURTIS ROAD, BOISE, ID 83706 2024-03-12 2024-03-12
LUPE WISSEL Director 1055 N CURTIS ROAD, BOISE, ID 83706 2024-03-12 2024-03-12
ODETTE C. BOLANO Director 1055 N CURTIS ROAD, BOISE, ID 83706 2024-03-12 2024-03-12
MICHAEL BALLANTYNE Director 1055 N CURTIS ROAD, BOISE, ID 83706 2024-03-12 2024-03-12
ANGELA TAYLOR Director 1055 N CURTIS ROAD, BOISE, ID 83706 2024-03-12 2024-03-12
Robert W. Ladenburger Director 1055 N CURTIS RD, BOISE, ID 83706-1309 2024-03-12 2024-03-12
SR. SUZANNE BRENNAN Director 1055 N CURTIS ROAD, BOISE, ID 83706 2024-03-12 2024-03-12

Secretary

Name Role Address Appointed On Resigned On
STEPHANIE C. WESTERMEIER Secretary 1055 N CURTIS RD, BOISE, ID 83706 2024-03-12 2024-03-12

Treasurer

Name Role Address Appointed On Resigned On
B. LANNIE CHECKETTS Treasurer 1055 N CURTIS ROAD, BOISE, ID 83706 2024-03-12 2024-03-12

National Provider Identifier

NPI Number:
1760823397
Certification Date:
2023-01-24
Link:
View on NPI website

Authorized Person:

Name:
BRIAN LANNIE CHECKETTS
Role:
CFO
Phone:
2083677347

Taxonomy:

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

Contacts:

Phone:
+1 208-367-6275
Fax:
2083675180
Phone:
+1 208-452-6851

Filing

Filing Name Filing Number Filing date
Annual Report 0006140059 2025-03-04
Annual Report 0005645403 2024-03-12
Annual Report 0005243494 2023-05-16
Registered Agent Name/Address Change (mass change) 0004900336 2022-09-12
Annual Report 0004694117 2022-04-11

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Related by address

1055 N CURTIS RD BOISE, ID 83706

IDAHO BEHAVIORAL HEALTH CARE SERVICES, L.L.C. SAINT ALPHONSUS CALDWELL CANCER TREATMENT CENTER, L.L.C. SAINT ALPHONSUS PROFESSIONAL MEDICAL SERVICES LLC FAMILY PRACTICE ASSOCIATES FAMILY MEDICAL CLINIC BOISE CONVENIENCE CLINIC IDHAO PHYSICIAN ASSOCIATES TAMARACK MEDICAL CLINIC, LLC IDAHO GYN/ONCOLOGY SERVICES LLC SAINT ALPHONSUS PATHOLOGY PHYSICIAN SERVICES

STEPHANIE C. WESTERMEIER 1055 N CURTIS RD BOISE, ID 83706-1309

SAINT ALPHONSUS REGIONAL MEDICAL CENTER, INC. EAGLE ED REAL ESTATE LLC SAINT ALPHONSUS DIVERSIFIED CARE, LLC SAINT ALPHONSUS HEALTH ALLIANCE, INC. HEALTH ALLIANCE INTEGRATED CARE, LLC SAINT ALPHONSUS HEALTH SYSTEM, INC.

Date of last update: 16 May 2025

Sources: Idaho Secretary of State

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