Debarment 3.2023.pdf

PDF 383 KB Posted

Attached to
Master Agreement AZ|CTR059352
Contract number
CTR059352
Issued by
Arizona

About this file

The document is a System for Award Management (SAM.gov) entity registration for the Maricopa County Special Health Care District, located in Phoenix, Arizona. The entity is registered as a U.S. Local Government entity, specifically a government-owned hospital, with the doing business name Valleywise Health. Its unique entity ID is J2RHHVGKRH11, and it has an active registration status set to expire on January 10, 2024. The organization is classified under NAICS code 622110 for General Medical And Surgical Hospitals and is part of Arizona's 07th Congressional District.

The registration document provides administrative details about the organization, indicating it accepts credit card payments and has no active exclusion records. The entity was initially registered on November 23, 2004, with an entity start date of January 1, 1877. Its primary points of contact for electronic business and government business are listed, with both contacts located at the 2601 E. Roosevelt address in Phoenix. The document confirms the organization's compliance with federal registration requirements, including executive compensation and proceedings questions, and authorizes its non-sensitive information to be displayed in public SAM search results. The entity does not appear in the disaster response registry and has no reported exclusions.

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Other files

File Type Posted
CTR059352 Contract amendment No. 2.pdf PDF
CTR059352 Amendment 1.pdf PDF
CTR059352 Price Sheet Amendment 1.pdf PDF
IGA_CTR059352_Executed__1_.pdf PDF
Initial Pricing.pdf PDF
Procurement Request.pdf PDF

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Text version

MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT

Unique Entity ID

J2RHHVGKRH11

CAGE / NCAGE

334W0

Purpose of Registration

All Awards

Registration Status

Active Registration

Expiration Date

Jan 10, 2024

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

Jan 11, 2023

Submission Date

Jan 10, 2023

Initial Registration Date

Nov 23, 2004

Entity Dates

Entity Start Date

Jan 1, 1877

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.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

U.S. Government Entity

Entity Type

US Local Government

Organization Factors

(blank)

Profit Structure

(blank)

Last updated by Jennifer Joiner on Jan 10, 2023 at 06:35 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 Jan 10, 2023 at 06:35 PM MARICOPA COUNTY SPECIAL HEALTH CARE DISTRICT https://sam.gov/entity/J2RHHVGKRH11/coreData?status=Active Page 2 of 2

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