S02 - SOLICITATION ATTACHMENT - D.5 KEY PERSONNEL LIST.docx
DOCX document 14 KB Posted
- Attached to
- Q201--CBOC IN WATERTOWN, NY IN JEFFERSON COUNTY
- Solicitation number
- 36C24219R0090
About this file
This document contains a key personnel list attachment for solicitation number 36C24219R0090 from the Department of Veterans Affairs Veterans Health Administration Veterans Integrated Service Network 2. The solicitation requires offerors to provide multi-specialty community-based outpatient clinic services in Watertown, New York, in Jefferson County, including both primary and mental health care with two or more specialty services physically on site. Access to additional specialty services may be offered by referral or telehealth. The solicitation also requires the services to be provided in a private hospital, office, or clinic environment to local Veterans. The key personnel list attachment includes fields for staff name, degree, specialty, licensure or certification status, National Provider Identifier number, and hours available per week for proposed staff fulfilling contract roles.
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Text version
D.5 KEY PERSONNEL LIST
| STAFF PERSON NAME |
| DEGREE |
| SPECIALTY |
| LICENSED/ |
CERTIFIED
| NPI # |
| # HRS AVAIL. PER WK |
| CONTRACT ROLE |
File details come from the government source that posted it. Updated .