Final_ARFQ_0506_MHC2300000006_3_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 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, was issued on June 2, 2023, with a closing date of June 8, 2023, at 12:00 PM. The request is for one attending physician position (quantity: 1,040 hours on a lump sum basis) to provide physician services to long-term care patients. A questions deadline of May 31, 2023, at 12:00 PM was established for prospective bidders. The procurement officer is listed as Roberta A Wagner, and the bid receiving location is the Health and Human Resources office at 401 Guffey Street, Fairmont, West Virginia 26554.
The solicitation uses commodity code 85121502 for the attending physician services. The document indicates this is Addendum 2 to the request, suggesting prior modifications to the original solicitation. Pricing information is to be submitted by vendors based on the service requirements outlined in the scope of work. Vendors should direct inquiries to Roberta A Wagner at (304) 558-0437 or roberta.a.wagner@wv.gov. All offers are subject to the terms and conditions contained in the complete solicitation documents.
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Other files
| File | Type | Posted |
|---|---|---|
| Final_ARFQ_0506_MHC2300000006_2_WV_ARFQ_FORM.PDF | ||
| TCA Attending Physician.pdf | ||
| HIPPA-BAA Form.pdf | ||
| Final_ARFQ_0506_MHC2300000006_1_WV_ARFQ_FORM.PDF | ||
| Pricing Page Attending Physician.xlsx | XLSX spreadsheet | |
| DHHR-43 Attending Physician.pdf | ||
| RFQ Attending Physician.docx | DOCX document | |
| Addendum 2.docx | DOCX document | |
| DHHR Provisions Required for Federally Funded Procurements (4).pdf | ||
| Addendum Number 1 Vendor Questions and Responses.pdf |
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Text version
Date Printed: Jun 2, 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 Addendum 2
Proc Type: Agency Purchase Order
Date Issued Solicitation Closes Solicitation No Version
2023-06-02 2023-06-08 12:00 ARFQ 0506 MHC2300000006 3
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: Jun 2, 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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| 1 |
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