CTR057399_Debarment_Checks.pdf

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Attached to
Master Agreement AZ|CTR057399
Contract number
CTR057399
Issued by
Arizona

About this file

These documents represent registration and compliance records for Valleywise Health, a healthcare organization associated with the Maricopa County Special Health Care District located in Phoenix, Arizona. The records include verifications from multiple state and federal systems, such as the Arizona Secretary of State, the System for Award Management (SAM.gov), the Office of Inspector General (OIG) exclusions database, and the Arizona Department of Administration Procurement's debarred firms list. The organization is registered as a U.S. local government entity, specifically a hospital, with an active registration status.

Valleywise Health is classified under NAICS code 622110 for General Medical and Surgical Hospitals and has been in operation since January 1, 1882, with its most recent federal registration activated on September 21, 2021. The organization's registration is current and set to expire on February 5, 2023. Key administrative details include a unique entity ID of J2RHHVGKRH11, CAGE code 334W0, and congressional district representation in Arizona's 7th district. The records confirm the organization has no active exclusions, is not on any debarment lists, and is authorized to accept government awards and contracts. Their primary business address and contact information are consistent across all documents, located at 2601 E. Roosevelt Street in Phoenix, Arizona.

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9/27/22, 1:09 PM Search Results - Arizona Secretary of State https://apps.azsos.gov/apps/tntp/rd.html 1/2

(https://azsos.gov/about-office/contact-us) (https://twitter.com/SecretaryHobbs)

(https://www.facebook.com/SecretaryHobbs) (https://www.instagram.com/azsecretaryhobbs/)

(https://az.gov/)

Result Detail Back

File ID:

9071387

Name:

VALLEYWISE HEALTH

Business Address:

2601 E. Roosevelt St.

Phoenix, Arizona

85008

Mailing Address:

2601 E. Roosevelt St.

Phoenix, Arizona

85008

Phone:

602-344-1262

Nature of Business:

Medical services; healthcare services

Date of First Use:

August 1, 2018

Date Registered:

https://azsos.gov/about-office/contact-us https://twitter.com/SecretaryHobbs https://www.facebook.com/SecretaryHobbs https://www.instagram.com/azsecretaryhobbs/ https://az.gov/

9/27/22, 1:09 PM Search Results - Arizona Secretary of State https://apps.azsos.gov/apps/tntp/rd.html 2/2

Website Policies (https://www.azsos.gov/website-policies) | Contact Us (https://www.azsos.gov/about-office/contact-us)

© 2022 - Arizona Secretary of State, All Rights Reserved

August 3, 2018

Expiration Date:

August 3, 2023

Applicants:

Maricopa County Special Health Care District Organization

Registration Information:

Registration Received:

August 3, 2018 Expires: August 3, 2023

Correspondence History:

Trade Name Assignment: Filed: October 30, 2018

Trade Name Application: Filed: August 3, 2018

Back https://www.azsos.gov/website-policies https://www.azsos.gov/about-office/contact-us

9/27/22, 1:10 PM OIG Search Results https://exclusions.oig.hhs.gov/SearchResults.aspx 1/1

Visit our tips page to learn how to best use the Exclusions Database. If you experience technical difficulties, please email the webmaster at webmaster@oig.hhs.gov.

Exclusions Search Results:

Exclusions Search Results:

EntitiesEntities

No Results were found for

Valleywise Health

If no results are found, this individual or entity (if it is an entity search) is not currently excluded. Print this Web page for your documentation

Search Again

Search conducted 9/27/2022 4:10:07 PM EST on OIG LEIE Exclusions database.

Source data updated on 9/8/2022 8:00:00 AM EST

Return to Search

An official website of the United States government. Here's how you know > https://oig.hhs.gov/exclusions/exclusions-help.asp#generalSearch mailto:webmaster@oig.hhs.gov https://oig.hhs.gov/exclusions/exclusions-help.asp#entitySearch javascript:__doPostBack('ctl00$cpExclusions$lbGridBackToSearch','') javascript:__doPostBack('ctl00$cpExclusions$lbBackToSearch','') https://oig.hhs.gov/notices/official-site.asp

MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT

Unique Entity ID

J2RHHVGKRH11

CAGE / NCAGE

334W0

Purpose of Registration

All Awards

Registration Status

Active Registration

Expiration Date

Feb 5, 2023

Physical Address

2601 E Roosevelt ST

Phoenix, Arizona 85008-4973

United States

Mailing Address

2601 E. Roosevelt ST.

Phoenix, Arizona 85008-4973

United States

Business Information

Doing Business as

Valleywise Health

Division Name

(blank)

Division Number

(blank)

Congressional District

Arizona 07

State / Country of Incorporation

(blank) / (blank)

URL

http://www.valleywisehealth.org/

Registration Dates

Activation Date

Sep 21, 2021

Submission Date

Sep 17, 2021

Initial Registration Date

Nov 23, 2004

Entity Dates

Entity Start Date

Jan 1, 1882

Fiscal Year End Close Date

Jun 30

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) 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 not displayed in SAM. They are sent to FAPIIS.gov for display as applicable. Maintaining an active registration in SAM 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

U.S. Government Entity

Entity Type

US Local Government

Organization Factors

(blank)

Profit Structure

(blank)

Last updated by Jennifer Joiner on Sep 17, 2021 at 04:16 PM MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT https://sam.gov/entity/J2RHHVGKRH11/coreData?status=Active Page 1 of 2

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.

Government Types

U.S. Local Government

Local Government Owned

Other Entity Qualifiers

Hospital

Financial Information

Accepts Credit Card Payments

Yes

Debt Subject To Offset

No

EFT Indicator

CAGE Code

334W0

Points of Contact

Electronic Business

Claire Agnew 2601 E. Roosevelt

Phoenix, Arizona 85008

United States

Government Business

Jennifer Joiner 2601 E. Roosevelt ST

Phoenix, Arizona 85008

United States

Service Classifications

NAICS Codes

Primary

Yes

NAICS Codes

622110

NAICS Title

General Medical And Surgical Hospitals

Disaster Response

This entity does not appear in the disaster response registry.

Last updated by Jennifer Joiner on Sep 17, 2021 at 04:16 PM MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT https://sam.gov/entity/J2RHHVGKRH11/coreData?status=Active Page 2 of 2

9/27/22, 1:07 PM Debarred and Suspended Firms | SPO Intranet https://spointra.az.gov/compliance/debarred-and-suspended-firms 1/2

Visit OpenBooks (https://openbooks.az.gov) Ombudsman-Citizens Aide (https://www.azoca.gov)

Get the facts on COVID-19 (https://azdhs.gov/preparedness/epidemiology-disease-control/infectious-disease-epidemiology/index.php#novel-coronavirus-home)

AZ.Gov (https://az.gov/search/) (https://az.gov)

Home (/) » Compliance (/compliance) » Debarred and Suspended Firms (/compliance/debarred-and-suspended-firms)

Debarred and Suspended Firms SPO is responsible for maintaining a list of firms that are suspended or debarred from doing business with the State of Arizona.

THERE ARE NO SUSPENDED OR DEBARRED FIRMS AT THIS TIME.

COMPLIANCE

Agency Procurement Authority (/compliance/agency-procurement-authority)

Control Self-Assessment (CSA) (/compliance/control-self-assessment-csa)

Procurement Compliance Reviews (PCR) (/compliance/procurement-compliance-reviews-pcr)

Compliance Hotline (/compliance/compliance-hotline)

Debarred and Suspended Firms (/compliance/debarred-and-suspended-firms) https://openbooks.az.gov/ https://www.azoca.gov/ https://azdhs.gov/preparedness/epidemiology-disease-control/infectious-disease-epidemiology/index.php#novel-coronavirus-home https://az.gov/search/ https://az.gov/ https://spointra.az.gov/ https://spointra.az.gov/compliance https://spointra.az.gov/compliance/debarred-and-suspended-firms https://spointra.az.gov/compliance/agency-procurement-authority https://spointra.az.gov/compliance/control-self-assessment-csa https://spointra.az.gov/compliance/procurement-compliance-reviews-pcr https://spointra.az.gov/compliance/compliance-hotline https://spointra.az.gov/compliance/debarred-and-suspended-firms https://spointra.az.gov/

ACC
OIG
SAM
SPO

File details come from the government source that posted it. Updated .