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MOSCOW MEDICAL, P.A.

Company Details

Name: MOSCOW MEDICAL, P.A.
Jurisdiction: Idaho
Legal type: Professional Service Corporation (D)
Status: Active-Good Standing
Date of registration: 11 Sep 1975 (50 years ago)
Financial Date End: 30 Sep 2025
Entity Number: 167729
Place of Formation: IDAHO
File Number: 167729
ZIP code: 83843
County: Latah County
Mailing Address: 213 N MAIN ST MOSCOW, ID 83843-2700

Agent

Name Role Address
TRACY L PAZ Agent 213 N MAIN ST, MOSCOW, ID 83843

Treasurer

Name Role Address Appointed On
Tracy Paz Treasurer 213 N MAIN ST, MOSCOW, ID 83843 2023-08-31

Secretary

Name Role Address Appointed On
Megan Neilson Secretary 213 N MAIN ST, MOSCOW, ID 83843 2023-08-31

President

Name Role Address Appointed On
Raymond M Paz President 213 N MAIN ST, MOSCOW, ID 83843 2021-09-07
Raymond M Paz M.D. President 213 N MAIN ST, MOSCOW, ID 83843 2020-09-01

U.S. Small Business Administration Profile

The U.S. Small Business Administration (SBA) helps Americans start, grow, and build resilient businesses.

Note: SBA was created in 1953 as an independent agency of the federal government to aid, counsel, assist and protect the interests of small business concerns; preserve free competitive enterprise; and maintain and strengthen the overall economy of our nation. SBA reviews Congressional and testifies on behalf of small businesses. It assesses the impact of regulatory burden on small businesses.

Phone Number:
E-mail Address:
Contact Person:
TRACY PAZ
Ownership and Self-Certifications:
Hispanic American, Other Minority Owned
User ID:
P2788907

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:
S8ENT6UYNQX3
CAGE Code:
92L10
UEI Expiration Date:
2025-08-16

Business Information

Division Name:
MOSCOW MEDICAL, P.A.
Activation Date:
2024-08-21
Initial Registration Date:
2021-06-24

National Provider Identifier

NPI Number:
1871646976

Authorized Person:

Name:
MRS. KATHY CORNISH
Role:
BILLING MANAGER
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
Yes

Contacts:

Filing

Filing Name Filing Number Filing date
Annual Report 0005849336 2024-08-06
Annual Report 0005376764 2023-08-31
Annual Report 0004852937 2022-08-08
Annual Report 0004409446 2021-09-07
Annual Report 0003983631 2020-09-01

USAspending Awards / Financial Assistance

Date:
2020-04-29
Awarding Agency Name:
Small Business Administration
Transaction Description:
ECONOMIC INJURY DISASTER GRANT
Obligated Amount:
10000.00
Face Value Of Loan:
0.00
Total Face Value Of Loan:
0.00
Date:
2020-04-27
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:
150300.00
Total Face Value Of Loan:
150300.00
Date:
2010-03-23
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES WHICH ARE UNABLE TO OBTAIN FINANCING IN THE PRIVATE CREDIT MARKETPLACE
Obligated Amount:
0.00
Face Value Of Loan:
35000.00
Total Face Value Of Loan:
35000.00

Paycheck Protection Program

Date Approved:
2020-04-27
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
150300
Current Approval Amount:
150300
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
151103.74

Date of last update: 28 May 2025

Sources: Idaho Secretary of State