Final_ARFQ_0506_MHC2300000006_2_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) form issued by the State of West Virginia Department of Health and Human Resources for attending physician services at the John Manchin, Sr. Health Care facility in Fairmont, West Virginia. The solicitation, numbered ARFQ 0506 MHC2300000006, requests physician services for long-term care with a quantity of 1,040 line items at a unit of lump sum (LS). The solicitation was issued on May 31, 2023, with a closing date of June 6, 2023, at 12:00 PM. The questions deadline is May 31, 2023, at 12:00 PM. This modification to the solicitation includes Addendum #1 containing vendor questions and responses regarding the attending physician contract requirements.
The procurement is structured as an Agency Purchase Order with commodity code 85121502. Roberta A. Wagner, the procurement buyer, can be contacted at (304) 558-0437 or roberta.a.wagner@wv.gov for additional information. The bid receiving location and procurement officer contact is located at 401 Guffey Street, Fairmont, West Virginia 26554, with a phone number of (304) 363-2500. Vendors are required to submit all offers subject to the terms and conditions contained in the solicitation, and all invoicing and shipment instructions direct vendors to the same Health and Human Resources facility address.
View the file
Other files
| File | Type | Posted |
|---|---|---|
| Final_ARFQ_0506_MHC2300000006_3_WV_ARFQ_FORM.PDF | ||
| TCA Attending Physician.pdf | ||
| DHHR-43 Attending Physician.pdf | ||
| RFQ Attending Physician.docx | DOCX document | |
| HIPPA-BAA Form.pdf | ||
| Final_ARFQ_0506_MHC2300000006_1_WV_ARFQ_FORM.PDF | ||
| Pricing Page Attending Physician.xlsx | XLSX spreadsheet | |
| Addendum 2.docx | DOCX document | |
| DHHR Provisions Required for Federally Funded Procurements (4).pdf | ||
| Addendum Number 1 Vendor Questions and Responses.pdf |
On GovTribe
Work with this file
- Download the original file
- Contacts named in this file
- Similar government files
- Ask GovTribe AI about this file
Text version
Date Printed: May 31, 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 CO1 TO PROVIDE ADDENDUM
#1 VENDOR QUESTIONS AND
RESPONSES.
Proc Type: Agency Purchase Order
Date Issued Solicitation Closes Solicitation No Version
2023-05-31 2023-06-06 12:00 ARFQ 0506 MHC2300000006 2
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 31, 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
| 1 |
| 1 |
File details come from the government source that posted it. Updated .