Final_ARFQ_0506_MHC2300000006_1_WV_ARFQ_FORM.PDF
PDF 727 KB Posted
- Attached to
- ATTENDING PHYSICIAN
- Solicitation number
- ARFQ 0506 MHC2300000006 3
- Issued by
- Marshall County, West Virginia
About this file
This is an Agency Request for Quote (ARFQ) issued by the State of West Virginia Department of Health and Human Resources for attending physician services. The solicitation, numbered ARFQ 0506 MHC2300000006, was issued on May 18, 2023, with a questions deadline of May 31, 2023, at 12:00 PM and a bid closing date of June 6, 2023, at 12:00 PM. The agency seeks one attending physician to provide physician services to long-term care facilities at the John Manchin, Sr. Health Care facility located at 401 Guffey Street, Fairmont, West Virginia. The procurement is classified under commodity code 85121502. Bids should be submitted to the Health and Human Resources department at the Fairmont address, with all inquiries directed to Roberta A. Wagner, the buyer, at (304) 558-0437 or roberta.a.wagner@wv.gov.
The solicitation specifies a quantity of 1,040 line items on a lump sum (LS) basis, though the exact nature of this unit measure requires clarification through the detailed scope of work not included in this summary document. Pricing terms and conditions are to be contained within the full solicitation package. The procurement officer is John Manchin, Sr., reachable at (304) 363-2500. All offers are subject to the terms and conditions outlined in the complete solicitation documents.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| DHHR-43 Attending Physician.pdf | ||
| Addendum 2.docx | DOCX document | |
| Final_ARFQ_0506_MHC2300000006_3_WV_ARFQ_FORM.PDF | ||
| TCA Attending Physician.pdf | ||
| DHHR Provisions Required for Federally Funded Procurements (4).pdf | ||
| HIPPA-BAA Form.pdf | ||
| Pricing Page Attending Physician.xlsx | XLSX spreadsheet | |
| Addendum Number 1 Vendor Questions and Responses.pdf | ||
| Final_ARFQ_0506_MHC2300000006_2_WV_ARFQ_FORM.PDF | ||
| RFQ Attending Physician.docx | DOCX document |
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Text version
Date Printed: May 18, 2023 Page:1 FORM ID: WV-PRC-ARFQ-002 2020/05
State of West Virginia Agency Request for Quote
Medical
Proc Folder: 1224677 Reason for Modification:
Doc Description: ATTENDING PHYSICIAN
Proc Type: Agency Purchase Order
Date Issued Solicitation Closes Solicitation No Version
2023-05-18 2023-06-06 12:00 ARFQ 0506 MHC2300000006 1
BID RECEIVING LOCATION
PROCUREMENT OFFICER - 304-363-2500
HEALTH AND HUMAN RESOURCES
JOHN MANCHIN, SR HEALTH CARE
401 GUFFEY ST
FAIRMONT WV 26554
US
VENDOR
Vendor Customer Code:
Vendor Name :
Address :
Street :
City :
State : Country : Zip :
Principal Contact :
Vendor Contact Phone: Extension:
FOR INFORMATION CONTACT THE BUYER
Roberta A Wagner
(304) 558-0437 roberta.a.wagner@wv.gov
Vendor Signature X FEIN# DATE All offers subject to all terms and conditions contained in this solicitation
Date Printed: May 18, 2023 Page:2 FORM ID: WV-PRC-ARFQ-002 2020/05
ADDITIONAL INFORMATION
INVOICE TO SHIP TO
HEALTH AND HUMAN
RESOURCES
HEALTH AND HUMAN
RESOURCES
JOHN MANCHIN, SR HEALTH
CARE
JOHN MANCHIN, SR HEALTH
CARE
401 GUFFEY ST 401 GUFFEY ST
FAIRMONT WV FAIRMONT WV
US US
Line Comm Ln Desc Qty Unit Issue Unit Price Total Price
1 ATTENDING PHYSICIAN 1040.00000 LS
Comm Code Manufacturer Specification Model # 85121502
Extended Description:
ATTENDING PHYSICIAN TO PROVIDE PHYSICIAN SERVICES TO LONG TERM CARE
SCHEDULE OF EVENTS
Line Event Event Date
1 QUESTIONS DEADLINE 12:00PM 2023-05-31
Document Phase Document Description Page
MHC2300000006 Final ATTENDING PHYSICIAN
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