Final_ARFQ_0512_WEH2500000001_1_WV_ARFQ_FORM.PDF

PDF 730 KB Posted

Attached to
Cancellation PHYSICIAN SERVICES (ED)
Solicitation number
ARFQ 0512 WEH2500000001 2
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 (DHHR), Bureau for Office of Health Facilities, on behalf of Welch Community Hospital. The solicitation seeks bids to establish a physician services contract for specialty services including surgery, anesthesia, radiology, and geriatrics; rural health clinic services in internal medicine, walk-in clinic, and pediatrics; and emergency department physician services. The primary focus of this solicitation is emergency room physician services, specified at 8,760 hours annually. The solicitation was issued on September 5, 2024, with a questions deadline of September 17, 2024, at 10:00 am EST, and bid responses are due on October 10, 2024, at 1:30 pm. Bids should be submitted to the Health and Human Resources Operations/Purchasing office located at One Davis Square, First Floor, Room 111, Charleston, West Virginia 25301.

The solicitation does not specify pricing terms, contract duration, or renewal options in the available documentation. Interested vendors should contact Roberta A. Wagner, the buyer, at (304) 558-0437 or roberta.a.wagner@wv.gov for additional information regarding pricing requirements, contract terms, funding sources, and any other details necessary to prepare a competitive response.

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Text version

Date Printed: Sep 5, 2024 Page:1 FORM ID: WV-PRC-ARFQ-002 2020/05

State of West Virginia Agency Request for Quote

Service - Prof

Proc Folder: 1501666 Reason for Modification:

Doc Description: PHYSICIAN SERVICES (EMERGENCY DEPARTMENT PHYSICIANS)

Proc Type: Agency Master Agreement

Date Issued Solicitation Closes Solicitation No Version

2024-09-05 2024-10-10 13:30 ARFQ 0512 WEH2500000001 1

BID RECEIVING LOCATION

BUYER - 304-957-0209

HEALTH AND HUMAN RESOURCES

OPERATIONS/PURCHASING

ONE DAVIS SQUARE, FIRST FLOOR RM 111

CHARLESTON WV 25301

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: Sep 5, 2024 Page:2 FORM ID: WV-PRC-ARFQ-002 2020/05

ADDITIONAL INFORMATION

PURPOSE AND SCOPE: The West Virginia Department of Health and Human Resources (DHHR), Bureau for Office of Health Facilities (OHF), Welch Community Hospital (Agency) is soliciting bids to establish a physician services contract for specialty services in the areas of surgery, anesthesia, radiology, and geriatrics; rural health clinic services in the areas of internal medicine, walk-in clinic, and pediatrics; and emergency room services to hospital's patients.

INVOICE TO SHIP TO

HEALTH AND HUMAN

RESOURCES

HEALTH AND HUMAN

RESOURCES

WELCH COMMUNITY

HOSPITAL

WELCH COMMUNITY

HOSPITAL

454 MCDOWELL ST 454 MCDOWELL ST

WELCH WV WELCH WV

US US

Line Comm Ln Desc Qty Unit Issue Unit Price Total Price 1 Emergency Room Physician Services 4.1.3.1 8760.00000 HOUR

Comm Code Manufacturer Specification Model # 85121503

Extended Description:

4.1.3.6 Emergency Room Physician Services

SCHEDULE OF EVENTS

Line Event Event Date 1 Questions are due at 10:00 am EST 2024-09-17

Document Phase Document Description Page

WEH2500000001 Final PHYSICIAN SERVICES (

EMERGENCY DEPARTMENT

PHYSICIANS)

1
1

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