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MOUNT CARMEL HEALTH PLAN OF IDAHO, INC.

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Company Details

Name: MOUNT CARMEL HEALTH PLAN OF IDAHO, INC.
Jurisdiction: Idaho
Legal type: Non-Profit Corporation (D)
Status: Active-Good Standing
Date of registration: 29 Aug 2018 (7 years ago)
Financial Date End: 31 Aug 2025
Entity Number: 636256
Place of Formation: IDAHO
File Number: 636256
ZIP code: 83706
County: Ada County
Mailing Address: STE 300 1299 ORCHARD ST. BOISE, ID 83706-1248

Agent

Name Role Address
C T CORPORATION SYSTEM Agent 10020 W FAIRVIEW AVE, STE 104, BOISE, ID 83704

Director

Name Role Address Appointed On
Lannie Checketts Director 1299 ORCHARD ST., BOISE, ID 83706-1248 2021-08-03
Jennifer Gudapati Director 1070 N CURTIS RD, BOISE, ID 83706-1248 2023-07-17
Charles Chodroff MD Director 1299 ORCHARD ST., BOISE, ID 83706-1248 2024-08-08
Lutana Haan EdD Director 1299 ORCHARD ST., BOISE, ID 83706-1248 2024-08-08

President

Name Role Address Appointed On Resigned On
Jack Randolph President 1299 ORCHARD ST., BOISE, ID 83706-1248 2023-07-17 No data
Cynthia Dellecker President 1070 N CURTIS RD, BOISE, ID 83706-1248 2020-08-12 2021-08-03

Treasurer

Name Role Address Appointed On
David Vis Treasurer 1299 ORCHARD ST., BOISE, ID 83706-1248 2023-07-17

Filing

Filing Name Filing Number Filing date
Registered Agent Name/Address Change (mass change) 0006278116 2025-05-27
Annual Report 0005852084 2024-08-08
Annual Report 0005324898 2023-07-17
Registered Agent Name/Address Change (mass change) 0004900974 2022-09-12
Annual Report 0004889489 2022-09-08

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Date of last update: 06 Jul 2025

Sources: Idaho Secretary of State