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PRAIRIE MEDICAL LLC

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Company Details

Name: PRAIRIE MEDICAL LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 10 Apr 2009 (16 years ago)
Financial Date End: 30 Apr 2026
Entity Number: 258836
Place of Formation: IDAHO
File Number: 258836
ZIP code: 83616
County: Ada County
Principal Address: 4522 W MORGAN CREEK CT EAGLE, ID 83616
Mailing Address: 1809 N LAKES PL MERIDIAN, ID 83646-1921

Agent

Name Role Address
TINA NEWCOMB Agent 4522 W MORGAN CREEK CT, EAGLE, ID 83616

Member

Name Role Address Appointed On
tina newcomb Member 4522 W MORGAN CREEK CT, EAGLE, ID 83616 2021-03-05

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:
Fax Number:
208-938-4235
Contact Person:
TINA NEWCOMB
Ownership and Self-Certifications:
Women-Owned Small Business, Woman Owned
User ID:
P1171899
Trade Name:
PRAIRIE MEDICAL LLC

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:
N2JAJKSHGS63
CAGE Code:
5UJ39
UEI Expiration Date:
2026-03-21

Business Information

Doing Business As:
PRAIRIE MEDICAL LLC
Activation Date:
2025-03-25
Initial Registration Date:
2010-01-04

Commercial and government entity program

The The Commercial And Government Entity Code (CAGE) is assigned by the Department of Defense's Defense Logistics Agency (DLA) and represents your company's physical address for GSA's mailings, payments, and administrative records.

Note: A CAGE Code enables a company to contract with the U.S. government, allowing bid on government contracts and to receive government payments. Also for business this means that it's a Verified business entity and Has a validated physical address.

CAGE number:
5UJ39
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2025-03-25
CAGE Expiration:
2030-03-25
SAM Expiration:
2026-03-21

Contact Information

POC:
TINA NEWCOMB

National Provider Identifier

NPI Number:
1588998124

Authorized Person:

Name:
MRS. TINA D NEWCOMB
Role:
DIRECTOR/OWNER
Phone:

Taxonomy:

Selected Taxonomy:
332B00000X - Durable Medical Equipment & Medical Supplies
Is Primary:
Yes

Contacts:

Fax:
2089384235

Filing

Filing Name Filing Number Filing date
Annual Report 0006157888 2025-03-12
Annual Report 0005631205 2024-03-04
Annual Report 0005133528 2023-03-03
Statement of Change of Business Mailing Address 0005129030 2023-03-01
Annual Report 0004659737 2022-03-14

USAspending Awards / Contracts

Procurement Instrument Identifier:
VA26117P0931
Award Or Idv Flag:
AWARD
Award Type:
PURCHASE ORDER
Action Obligation:
4400.00
Base And Exercised Options Value:
4400.00
Base And All Options Value:
4400.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2017-01-10
Description:
PNEUMATIC COMPRESSION LEG PUMP
Naics Code:
339112: SURGICAL AND MEDICAL INSTRUMENT MANUFACTURING
Product Or Service Code:
6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES
Procurement Instrument Identifier:
VA26116P2954
Award Or Idv Flag:
AWARD
Award Type:
PURCHASE ORDER
Action Obligation:
4400.00
Base And Exercised Options Value:
4400.00
Base And All Options Value:
4400.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2016-09-13
Description:
PNEUMATIC LEG COMPRESSION PUMP
Naics Code:
339112: SURGICAL AND MEDICAL INSTRUMENT MANUFACTURING
Product Or Service Code:
6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES
Procurement Instrument Identifier:
VA26116P2586
Award Or Idv Flag:
AWARD
Award Type:
PURCHASE ORDER
Action Obligation:
4400.00
Base And Exercised Options Value:
4400.00
Base And All Options Value:
4400.00
Awarding Agency Name:
Department of Veterans Affairs
Performance Start Date:
2016-08-10
Description:
PNEUMATIC COMPRESSION LEG PUMP
Naics Code:
339112: SURGICAL AND MEDICAL INSTRUMENT MANUFACTURING
Product Or Service Code:
6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES

USAspending Awards / Financial Assistance

Date:
2021-01-30
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:
45461.85
Total Face Value Of Loan:
45461.85
Date:
2020-04-15
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:
70300.00
Total Face Value Of Loan:
70300.00
Date:
2012-06-28
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO ASSIST SMALL BUSINESS CONCERNS BY PROVIDING LONG TERM FINANCING THROUGH THE SALE OF DEBENTURES TO THE PRIVATE SECTOR
Obligated Amount:
0.00
Face Value Of Loan:
66000.00
Total Face Value Of Loan:
66000.00
Date:
2011-12-06
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:
100000.00
Total Face Value Of Loan:
150000.00

Trademarks Section

Serial Number:
86659868
Mark:
PRAIRIE MEDICAL
Status:
Abandoned because the applicant failed to respond or filed a late response to an Office action. To view all documents in this file, click on the Trademark Document Retrieval link at the top of this page.
Mark Type:
Service Mark
Application Filing Date:
2015-06-11
Mark Drawing Type:
3 - AN ILLUSTRATION DRAWING WHICH INCLUDES WORD(S)/ LETTER(S) /NUMBER(S)
Mark Literal Elements:
PRAIRIE MEDICAL

Goods And Services

For:
Retail store services featuring durable medical equipment
First Use:
2008-03-01
International Classes:
035 - Primary Class
Class Status:
ACTIVE

Paycheck Protection Program

Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
70300
Current Approval Amount:
70300
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
70800.77
Date Approved:
2021-01-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
45461.85
Current Approval Amount:
45461.85
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
45850.46

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Date of last update: 30 May 2025

Sources: Idaho Secretary of State