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  5. PRAIRIE MEDICAL LLC

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

Phone Number:
800-627-0617
E-mail Address:
tink@prairiemed.com
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

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

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
Link:
View on NPI website

Authorized Person:

Name:
MRS. TINA D NEWCOMB
Role:
DIRECTOR/OWNER
Phone:
2082491185

Taxonomy:

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

Contacts:

Phone:
+1 208-249-1185
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
Link:
View Award on USAspending website
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
Link:
View Award on USAspending website
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
Link:
View Award on USAspending website
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
Link:
View on USAspending
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
Link:
View on USAspending
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
Link:
View on USAspending
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
Link:
View on USAspending
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
USPTO Link:
View Trademark Status and Document Retrieval (TSDR)

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

Jobs Reported:
5
Initial Approval Amount:
$70,300
Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$70,300
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$70,800.77
Servicing Lender:
Washington Trust Bank
Use of Proceeds:
Payroll: $70,300
Jobs Reported:
4
Initial Approval Amount:
$45,461.85
Date Approved:
2021-01-30
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Current Approval Amount:
$45,461.85
Race:
Unanswered
Ethnicity:
Not Hispanic or Latino
Gender:
Female Owned
Veteran:
Non-Veteran
Forgiveness Amount:
$45,850.46
Servicing Lender:
Washington Trust Bank
Use of Proceeds:
Payroll: $45,461.85

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Related by address

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Date of last update: 18 Jul 2025

Sources: Idaho Secretary of State

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