| 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 2025 |
| 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 | 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 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 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 |
|---|
| 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 | |||||||||||||||
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| 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 |
|---|
| Name | Role | Address |
|---|---|---|
| TINA NEWCOMB | Agent | 4522 W MORGAN CREEK CT, EAGLE, ID 83616 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| tina newcomb | Member | 4522 W MORGAN CREEK CT, EAGLE, ID 83616 | 2021-03-05 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| 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 |
| Annual Report | 0001993577 | 2016-02-26 |
Date of last update: 07 Dec 2024
Sources: Idaho Secretary of State
