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  5. PRAIRIE MEDICAL LLC

PRAIRIE MEDICAL LLC

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

Unique Entity ID

Unique Entity ID Expiration Date Physical Address Mailing Address
N2JAJKSHGS63 2024-09-25 1809 N LAKES PL, MERIDIAN, ID, 83646, 1921, USA 1809 N LAKES PL, MERIDIAN, ID, 83646, 1921, USA

Business Information
Congressional District 01
State/Country of Incorporation ID, USA
Activation Date 2023-09-28
Initial Registration Date 2010-01-04
Entity Start Date 2009-04-10
Fiscal Year End Close Date Dec 31

Service Classifications
NAICS Codes 423450, 621610
Product and Service Codes 6515, 6530, Q518, Q520, Q999, W065

Points of Contacts
Electronic Business
Title PRIMARY POC
Name TINA NEWCOMB
Address 1809 N LAKES PLACE, MERIDIAN, ID, 83646, USA
Title ALTERNATE POC
Name TINA NEWCOMB
Address 4522 W MORGAN CREEK CT., EAGLE, ID, 83616, 3359, USA
Government Business
Title PRIMARY POC
Name TINA NEWCOMB
Address 1809 N LAKES PLACE, MERIDIAN, ID, 83646, USA
Title ALTERNATE POC
Name TINA NEWCOMB
Address 4522 W MORGAN CREEK CT., EAGLE, ID, 83616, 3359, USA
Past Performance Information not Available

Commercial and government entity program

CAGE number Status Type Established CAGE Update Date CAGE Expiration SAM Expiration
5UJ39 Active Non-Manufacturer 2010-01-05 2024-07-31 2029-07-31 2025-07-29

Contact Information
POC TINA NEWCOMB
Phone +1 800-627-0617
Fax +1 208-938-4235
Address 1809 N LAKES PL, MERIDIAN, ID, 83646 1921, UNITED STATES

Ownership of Offeror Information
Highest Level Owner Information not Available
Immediate Level Owner Information not Available
List of Offerors (0) Information not Available

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

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
Annual Report 0004199217 2021-03-05
Annual Report 0003794783 2020-03-03
Annual Report 0003520639 2019-05-22
Annual Report 0001993581 2018-03-02
Annual Report 0001993579 2017-02-21

USAspending Awards. Contracts

Contract Type Award or IDV Flag PIID Start Date Current End Date Potential End Date
PO AWARD VA26112P3248 2012-08-21 2012-09-21 2012-09-21
Unique Award Key CONT_AWD_VA26112P3248_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title PNEUMATIC COMPRESSION PUMP
NAICS Code 423450: MEDICAL, DENTAL, AND HOSPITAL EQUIPMENT AND SUPPLIES MERCHANT WHOLESALERS
Product and Service Codes 6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES

Recipient Details
Recipient PRAIRIE MEDICAL LLC
UEI N2JAJKSHGS63
Legacy DUNS 012773042
Recipient Address 4522 W MORGAN CRK CT, EAGLE, 836163359, UNITED STATES
PO AWARD VA26112P2758 2012-07-31 2012-08-30 2012-08-30
Unique Award Key CONT_AWD_VA26112P2758_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title PNEUMATIC COMPRESSION PUMP
NAICS Code 423450: MEDICAL, DENTAL, AND HOSPITAL EQUIPMENT AND SUPPLIES MERCHANT WHOLESALERS
Product and Service Codes 6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES

Recipient Details
Recipient PRAIRIE MEDICAL LLC
UEI N2JAJKSHGS63
Legacy DUNS 012773042
Recipient Address 4522 W MORGAN CRK CT, EAGLE, 836163359, UNITED STATES
PO AWARD VA26112P2538 2012-07-26 2012-08-24 2012-08-24
Unique Award Key CONT_AWD_VA26112P2538_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title PNEUMATIC COMPRESSION PUMP
NAICS Code 423450: MEDICAL, DENTAL, AND HOSPITAL EQUIPMENT AND SUPPLIES MERCHANT WHOLESALERS
Product and Service Codes 6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES

Recipient Details
Recipient PRAIRIE MEDICAL LLC
UEI N2JAJKSHGS63
Legacy DUNS 012773042
Recipient Address 4522 W MORGAN CRK CT, EAGLE, 836163359, UNITED STATES
PO AWARD VA26112P2559 2012-07-26 2012-08-24 2012-08-24
Unique Award Key CONT_AWD_VA26112P2559_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title PNEUMATIC COMPRESSION PUMP
NAICS Code 423450: MEDICAL, DENTAL, AND HOSPITAL EQUIPMENT AND SUPPLIES MERCHANT WHOLESALERS
Product and Service Codes 6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES

Recipient Details
Recipient PRAIRIE MEDICAL LLC
UEI N2JAJKSHGS63
Legacy DUNS 012773042
Recipient Address 4522 W MORGAN CRK CT, EAGLE, 836163359, UNITED STATES
PO AWARD VA26112P2292 2012-07-10 2012-08-10 2012-08-10
Unique Award Key CONT_AWD_VA26112P2292_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title PNEUMATIC COMPRESSION PUMP GRADIENT SEQUENTIAL
NAICS Code 339112: SURGICAL AND MEDICAL INSTRUMENT MANUFACTURING
Product and Service Codes 6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES

Recipient Details
Recipient PRAIRIE MEDICAL LLC
UEI N2JAJKSHGS63
Legacy DUNS 012773042
Recipient Address 4522 W MORGAN CRK CT, EAGLE, 836163359, UNITED STATES
PO AWARD VA26112P2822 2012-05-18 2012-06-04 2012-06-04
Unique Award Key CONT_AWD_VA26112P2822_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title PNEUMATIC COMPRESSOR PUMP
NAICS Code 423450: MEDICAL, DENTAL, AND HOSPITAL EQUIPMENT AND SUPPLIES MERCHANT WHOLESALERS
Product and Service Codes 6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES

Recipient Details
Recipient PRAIRIE MEDICAL LLC
UEI N2JAJKSHGS63
Legacy DUNS 012773042
Recipient Address 4522 W MORGAN CRK CT, EAGLE, 836163359, UNITED STATES
PO AWARD VA26112P1785 2012-05-03 2012-06-04 2012-06-04
Unique Award Key CONT_AWD_VA26112P1785_3600_-NONE-_-NONE-
Awarding Agency Department of Veterans Affairs
Link View Page

Description
Title PNEUMATIC COMPRESSOR PUMP
NAICS Code 423450: MEDICAL, DENTAL, AND HOSPITAL EQUIPMENT AND SUPPLIES MERCHANT WHOLESALERS
Product and Service Codes 6515: MEDICAL AND SURGICAL INSTRUMENTS, EQUIPMENT, AND SUPPLIES

Recipient Details
Recipient PRAIRIE MEDICAL LLC
UEI N2JAJKSHGS63
Legacy DUNS 012773042
Recipient Address 4522 W MORGAN CRK CT, EAGLE, 836163359, UNITED STATES

Paycheck Protection Program

Loan Number Loan Funded Date SBA Origination Office Code Loan Delivery Method Borrower Street Address
1151167205 2020-04-15 1087 PPP 1809 N LAKES PL, MERIDIAN, ID, 83646-1921
Loan Status Date 2021-02-11
Loan Status Paid in Full
Loan Maturity in Months 24
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 70300
Loan Approval Amount (current) 70300
Undisbursed Amount 0
Franchise Name -
Lender Location ID 74899
Servicing Lender Name Washington Trust Bank
Servicing Lender Address 717 W Sprague Ave, SPOKANE, WA, 99201-3915
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Unanswered
Project Address MERIDIAN, ADA, ID, 83646-1921
Project Congressional District ID-01
Number of Employees 5
NAICS code 423450
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 74899
Originating Lender Name Washington Trust Bank
Originating Lender Address SPOKANE, WA
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 70800.77
Forgiveness Paid Date 2021-01-07
9164048304 2021-01-30 1087 PPS 1809 N Lakes Pl, Meridian, ID, 83646-1921
Loan Status Date 2022-01-11
Loan Status Paid in Full
Loan Maturity in Months 60
SBA Guaranty Percentage 100
Loan Approval Amount (at origination) 45461.85
Loan Approval Amount (current) 45461.85
Undisbursed Amount 0
Franchise Name -
Lender Location ID 74899
Servicing Lender Name Washington Trust Bank
Servicing Lender Address 717 W Sprague Ave, SPOKANE, WA, 99201-3915
Rural or Urban Indicator U
Hubzone N
LMI N
Business Age Description Existing or more than 2 years old
Project Address Meridian, ADA, ID, 83646-1921
Project Congressional District ID-01
Number of Employees 4
NAICS code 423450
Borrower Race Unanswered
Borrower Ethnicity Not Hispanic or Latino
Business Type Limited Liability Company(LLC)
Originating Lender ID 74899
Originating Lender Name Washington Trust Bank
Originating Lender Address SPOKANE, WA
Gender Female Owned
Veteran Non-Veteran
Forgiveness Amount 45850.46
Forgiveness Paid Date 2021-12-20

U.S. Small Business Administration Profile

Status User ID Name of Firm Trade Name UEI Address
Active P1171899 PRAIRIE MEDICAL LLC PRAIRIE MEDICAL LLC N2JAJKSHGS63 1809 N LAKES PL, MERIDIAN, ID, 83646-1921
Capabilities Statement Link -
Phone Number 800-627-0617
Fax Number 208-938-4235
E-mail Address tink@prairiemed.com
WWW Page -
E-Commerce Website -
Contact Person TINA NEWCOMB
County Code (3 digit) 001
Congressional District 01
Metropolitan Statistical Area -
CAGE Code 5UJ39
Year Established 2009
Accepts Government Credit Card Yes
Legal Structure LLC
Ownership and Self-Certifications Women-Owned Small Business, Woman Owned
Business Development Servicing Office BOISE DISTRICT OFFICE (SBA office code 1087)
Capabilities Narrative DME Medical Equipment Pneumatic compression pumps, lymphedema, breast cancer, PVD
Special Equipment/Materials (none given)
Business Type Percentages (none given)
Keywords DME small woman own
Quality Assurance Standards (none given)
Electronic Data Interchange capable -

Current Principals
Name Tina Newcomb
Role Owner

SBA Federal Certifications
HUBZone Certified No
Women Owned Certified No
Women Owned Pending No
Economically Disadvantaged Women Owned Certified No
Economically Disadvantaged Women Owned Pending No
Veteran-Owned Small Business Certified No
Veteran-Owned Small Business Joint Venture No
Service-Disabled Veteran-Owned Small Business Certified No
Service-Disabled Veteran-Owned Small Business Joint Venture No

Bonding Levels
Description Construction Bonding Level (per contract)
Level $0
Description Construction Bonding Level (aggregate)
Level $0
Description Service Bonding Level (per contract)
Level $0
Description Service Bonding Level (aggregate)
Level $0

NAICS Codes with Size Determinations by NAICS
Primary Yes
Code 423450
NAICS Code's Description Medical, Dental, and Hospital Equipment and Supplies Merchant Wholesalers
Buy Green Yes
Code 621610
NAICS Code's Description Home Health Care Services
Buy Green Yes

Export Profile (Trade Mission Online)
Exporter No
Export Business Activities (none given)
Exporting to (none given)
Desired Export Business Relationships (none given)
Description of Export Objective(s) (none given)

Performance History (References)
Name Prairie Medical
Contract Tina Newcomb
Start 2011-05-01

Related by officers

TINA NEWCOMB

LILY D LAND LLC PRAIRIE MEDICAL SUPPLY LLC

tina newcomb

PRAIRIE MEDICAL SUPPLY LLC

Related by address

4522 W MORGAN CREEK CT EAGLE, ID 83616

LILY D LAND LLC PRAIRIE MEDICAL SUPPLY LLC

Date of last update: 03 Apr 2025

Sources: Idaho Secretary of State

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