| Name: | Four Corners Diabetes and Medication Counseling, Inc. |
| Jurisdiction: | Colorado |
| Legal type: | Domestic nonprofit corporation |
| Status: | Good Standing |
| Date of registration: | 22 Jan 2021 (4 years ago) |
| Entity Number: | 20211060028 |
| ZIP code: | 81323 |
| County: | Dolores County |
| Place of Formation: | COLORADO |
| Principal Address: | 12478 Road 29 Dolores CO 81323 US |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| N421GJLVM474 | 2025-02-18 | 12478 ROAD 29, DOLORES, CO, 81323, 8905, USA | 12478 ROAD 29, DOLORES, CO, 81323, USA | |||||||||||||||||||||||||||||||||||||
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| Congressional District | 03 |
| State/Country of Incorporation | CO, USA |
| Activation Date | 2024-02-21 |
| Initial Registration Date | 2022-01-31 |
| Entity Start Date | 2021-01-22 |
| Fiscal Year End Close Date | Jan 22 |
Service Classifications
| NAICS Codes | 813212 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | DAVID KITLEY |
| Address | 12478 ROAD 29, DOLORES, CO, 81323, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | DAVID KITLEY |
| Address | 12478 ROAD 29, DOLORES, CO, 81323, USA |
| Past Performance | Information not Available |
|---|
| Name | Role | Address |
|---|---|---|
| David Kitley | Agent | 12478 Road 29 Dolores CO 81323 US |
| Transaction ID | Type | Date | Effective date | Name | Comment |
|---|---|---|---|---|---|
| 20238358141 | File Report | 2023-12-29 | 2023-12-29 | No data | No data |
| 20231013072 | File Report | 2023-01-03 | 2023-01-03 | No data | Principal address changed, Change in registered agent information |
| 20218195930 | File Report | 2021-12-23 | 2021-12-23 | No data | No data |
| 20211060028 | Form a Nonprofit Corporation | 2021-01-22 | 2021-01-22 | Four Corners Diabetes and Medication Counseling, Inc. | No data |
| Contract Type | Award or IDV Flag | PIID | Start Date | Current End Date | Potential End Date | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PURCHASE ORDER | AWARD | 75H70723P00209 | 2023-07-28 | 2025-07-31 | 2028-07-31 | |||||||||||||||||||||||||
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| Obligated Amount | 234000.00 |
| Current Award Amount | 234000.00 |
| Potential Award Amount | 585000.00 |
Description
| Title | EXERCISE OY-1 - UMUHC |
| NAICS Code | 621399: OFFICES OF ALL OTHER MISCELLANEOUS HEALTH PRACTITIONERS |
| Product and Service Codes | Q517: PHARMACY SERVICES |
Recipient Details
| Recipient | FOUR CORNERS DIABETES & MEDICATION COUNSELING INC |
| UEI | N421GJLVM474 |
| Recipient Address | UNITED STATES, 12478 ROAD 29, DOLORES, MONTEZUMA, COLORADO, 813238905 |
Date of last update: 23 Dec 2024
Sources: Colorado's Secretary of State
