B2B Attachment 2--NMLC - Vendor Business to Business (B2B) Information Request Form.pdf
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- Medical Records Coding Services Federal contract opportunity
- Solicitation number
- N6264520R0064
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Vendor Business to Business (B2B) Information Request
Company Information
Name of the Company
Street
Commercial Address
City
Phone Number
State
Country
Project Manager
Name
Title
Phone Number
Phone Number
Title
Name
Security Officer / Manager
Phone Number
Title
Name
Network Engineer (Manage Firewalls)
List Medical Treatment Facilities (MTF) that you will connect to:
1.
2.
3.
4.
5.
6.
7.
8.
List three purposed dates: (Three weeks out from receiving this form)
Form created by: Naval Medical Logistics Command (NMLC) - Fort Detrick, Maryland
1st Date/Time Field
2nd Date/Time Field
3rd Date/Time Field
Vendor Business to Business (B2B) Information Request Company Information Commercial Address Project Manager Security Officer / Manager Network Engineer (Manage Firewalls) List Medical Treatment Facilities (MTF) that you will connect to:
List three purposed dates:
(Three weeks out from receiving this form) Form created by: Naval Medical Logistics Command (NMLC) - Fort Detrick, Maryland 8.2.1.4029.1.523496.503679
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File details come from the government source that posted it. Updated .