CTR047091_A10_Concentric_FEa1.pdf
PDF 427 KB Posted
- Attached to
- Master Agreement AZ|CTR047091
- Contract number
- CTR047091
- Issued by
- Arizona
About this file
The document is a Contract Amendment issued by the Arizona Department of Health Services for Contract No. CTR047091 with Concentric Healthcare Solutions LLC, a staffing services company located in Scottsdale, Arizona. The amendment extends the existing contract for Registry Staffing Services for the Arizona State Hospital for an additional sixty (60) days, through June 30, 2025.
Concentric Healthcare Solutions is registered in the System for Award Management (SAM) with an active status, specializing in temporary help services and employment placement agencies. The company provides a wide range of medical staffing services, including nursing, laboratory testing, medical coding, and support services across multiple medical specialties. Their service classifications cover areas such as social rehabilitation, general health care, nursing home care, and various medical disciplines. The company is registered to work in any state and appears in the disaster response registry, indicating flexibility and broad operational capabilities in healthcare staffing.
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Text version
CONTRACT AMENDMENT
ARIZONA DEPARTMENT
OF HEALTH SERVICES
150 N. 18th Ave., Ste. 530 Phoenix, Arizona 85007
CONTRACT No.: CTR047091 CONTRACT AMENDMENT No.: 10
PROCUREMENT OFFICER
Karen D. Ingram
REGISTRY STAFFING SERVICES FOR THE ARIZONA STATE HOSPITAL
It is mutually agreed that the Contract referenced in this amendment is amended as follows:
1. Effective upon signature, pursuant to the Special Terms and Conditions, Provision Three (3), Contract Extensions, the Contract is hereby extended for sixty (60) days through June 30, 2025.
ALL CHANGES ARE REFLECTED IN RED
ALL OTHER PROVISIONS SHALL REMAIN IN THEIR ENTIRETY
Contractor hereby acknowledges receipt and acceptance of above amendment and that a signed copy must be filed with the Procurement Office before the effective date.
The above referenced Contract Amendment is hereby executed this day of, 2025 at Phoenix, Arizona.
Contractor Signature (To be filled out by Procurement Office)
Contractor Signature Date
Authorized Signatory’s Name and Title
Concentric Healthcare Solutions
Procurement Officer Signature
Contractor’s Name
03/24/2025
Robert Bales | Vice President, Operations
Gina Corwin
Digitally signed by Gina Corwin Date: 2025.03.24 17:16:50 -07'00'
CTR047091 – Concentric
March 2025
CONCENTRIC HEALTHCARE SOLUTIONS LLC
Unique Entity ID
N94QF8N4VMD9
CAGE / NCAGE
37BB2
Purpose of Registration
All Awards
Registration Status
Active Registration
Expiration Date
Dec 3, 2025
Physical Address
4250 N Drinkwater BLVD STE 100
Scottsdale, Arizona 85251-3982
United States
Mailing Address
4250 N Drinkwater BLVD
STE 100
Scottsdale, Arizona 85251-3985
United States
Business Information
Doing Business as
(blank)
Division Name
Concentric Healthcare Solutions Llc
Division Number
(blank)
Congressional District
Arizona 01
State / Country of Incorporation
Arizona / United States
URL
https://www.concentrichealthcare.com
Registration Dates
Activation Date
Dec 5, 2024
Submission Date
Dec 3, 2024
Initial Registration Date
Mar 10, 2005
Entity Dates
Entity Start Date
Dec 1, 2003
Fiscal Year End Close Date
Dec 31
Immediate Owner
CAGE
(blank)
Legal Business Name
(blank)
Highest Level Owner
CAGE
(blank)
Legal Business Name
(blank)
Executive Compensation
Registrants in the System for Award Management (SAM) respond to the Executive Compensation questions in accordance with Section 6202 of
P.L. 110-252, amending the Federal Funding Accountability and Transparency Act (P.L. 109-282). This information is not displayed in SAM. It is sent to USAspending.gov for display in association with an eligible award. Maintaining an active registration in SAM demonstrates the registrant responded to the questions.
Proceedings Questions
Registrants in the System for Award Management (SAM.gov) respond to proceedings questions in accordance with FAR 52.209-7, FAR 52.209-9, or 2. C.F.R. 200 Appendix XII. Their responses are displayed in the responsibility/qualification section of SAM.gov. Maintaining an active registration in SAM.gov demonstrates the registrant responded to the proceedings questions.
Exclusion Summary
Active Exclusions Records?
No
SAM Search Authorization
I authorize my entity's non-sensitive information to be displayed in SAM public search results:
Yes
Entity Types
Business Types
Entity Structure
Partnership or Limited Liability Partnership
Entity Type
Business or Organization
Organization Factors
Limited Liability Company
Profit Structure
For Profit Organization
Last updated by Robert Bales on Dec 03, 2024 at 05:31 PM CONCENTRIC HEALTHCARE SOLUTIONS LLC
Mar 07, 2025 02:53:03 PM GMT https://sam.gov/entity/N94QF8N4VMD9/coreData?status=null Page 1 of 3
Socio-Economic Types
Check the registrant's Reps & Certs, if present, under FAR 52.212-3 or FAR 52.219-1 to determine if the entity is an SBA-certified HUBZone small business concern. Additional small business information may be found in the SBA's Dynamic Small Business Search if the entity completed the
SBA supplemental pages during registration.
Financial Information
Accepts Credit Card Payments
Yes
Debt Subject To Offset
No
EFT Indicator
CAGE Code
37BB2
Points of Contact
Electronic Business
Robert Bales, Vice President, Operations 4250 N Drinkwater BLVD
Scottsdale, Arizona 85251
United States
Robert Bales, Director 4250 N Drinkwater BLVD
Scottsdale, Arizona 85251
United States
Government Business
Robert Bales, Vice President, Operations 4250 N Drinkwater BLVD
Scottsdale, Arizona 85251
United States
Robert Bales, Director 4250 N Drinkwater BLVD
Scottsdale, Arizona 85251
United States
Past Performance
Robert Bales, Director 4250 N Drinkwater BLVD
Scottsdale, Arizona 85251
United States
Robert Bales, Director 4250 N Drinkwater BLVD
Scottsdale, Arizona 85251
United States
Service Classifications
NAICS Codes
Primary
Yes
NAICS Codes
561320
NAICS Title
Temporary Help Services
561311 Employment Placement Agencies
Product and Service Codes
PSC PSC Name
G004 Social- Social Rehabilitation
Q201 Medical- General Health Care
Q301 Medical- Laboratory Testing
Q401 Medical- Nursing
Q402 Medical- Nursing Home Care Contracts
Q502 Medical- Cardio-Vascular
Q503 Medical- Dentistry
Q504 Medical- Dermatology
Q505 Medical- Gastroenterology
Q507 Medical- Gynecology
Q508 Medical- Hematology
Q509 Medical- Internal Medicine
Last updated by Robert Bales on Dec 03, 2024 at 05:31 PM CONCENTRIC HEALTHCARE SOLUTIONS LLC https://sam.gov/entity/N94QF8N4VMD9/coreData?status=null Page 2 of 3
Q510 Medical- Neurology
Q515 Medical- Pathology
Q516 Medical- Pediatric
Q518 Medical- Physical Medicine/Rehabilitation
Q519 Medical- Psychiatry
Q521 Medical- Pulmonary
Q522 Medical- Radiology
Q523 Medical- Surgery
Q525 Medical- Urology
Q527 Medical- Nuclear Medicine
Q601 Medical Coding And Auditing
Q602 Medical Records
Q603 Medical Transcription
Q701 Specialized Medical Support
Q702 Technical Medical Support
Q802 Clerical Medical Support
Q999 Medical- Other
R401 Support- Professional: Personal Care (Non-Medical)
R431 Support- Professional: Human Resources
R497 Support- Professional: Personal Services Contracts
R499 Support- Professional: Other
Disaster Response
Yes, this entity appears in the disaster response registry.
Bonding Levels Dollars
(blank) (blank)
States
Any
Counties
(blank)
Metropolitan Statistical Areas
(blank)
Last updated by Robert Bales on Dec 03, 2024 at 05:31 PM CONCENTRIC HEALTHCARE SOLUTIONS LLC https://sam.gov/entity/N94QF8N4VMD9/coreData?status=null Page 3 of 3
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