T-5 Draft RFP Attachment J-2 Large Market MTF - West.pdf
PDF 125 KB Posted
- Attached to
- Draft RFP - TRICARE Managed Care Support (T-5) Federal contract opportunity
- Solicitation number
- HT940220R0005
- Issued by
- Defense Health Agency
About this file
This draft request for proposals (RFP) is for the fifth-generation TRICARE Managed Care Support Contracts (T-5) to provide medical services and associated administrative support services to support the Military Health System's delivery of integrated care. Interested parties are requested to provide feedback on the draft requirements, terms and conditions using the provided Microsoft Excel response template by 18 September 2020. Submissions should be sent electronically to the listed procuring contracting officer and contract specialists. The Defense Health Agency will use the received information as market research for future managed care support requirements. The T-5 contracts will deliver medical services and administrative support to optimize a ready medical force and medically ready force. Data collected will support readiness decision-making by military service chiefs and the Secretary of Defense in determining health care costs.
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Text version
SECTION J
ATTACHMENT J-2
LARGE MARKET MTF - WEST
HT940220R0005 Page J1 of J10
San Diego NMC SAN DIEGO Naval Medical Center San Diego
34800 Bob Wilson Drive San Diego, California 92134
DMIS ID: 0029
Hospital
NH CAMP
PENDLETON
Naval Hospital Camp Pendleton 200 Mercy Circle Camp Pendleton, California 92055-5191
DMIS ID: 0024
Hospital
BMC CAMP DELMAR
MCB
21 Area Branch Health Clinic Naval Hospital Camp Pendleton Imhoff Rd, Bldg 210735 Box 555191 Camp Pendleton, CA 92055-5191
DMIS ID: 1657
Clinic
BMC EDSON RANGE
ANNEX
31 Area Branch Health Clinic Bldg 310514 Box 555191 Camp Pendleton, CA 92055-5191
DMIS ID: 0210
Clinic
BMC MCAS
MIRAMAR
Naval Branch Health Clinic MCAS Miramar Marine Corps Air Station Miramar Bldg 2496 Bauer Road San Diego, California 92145-2002
DMIS ID: 0232
Clinic
BMC MCB CAMP
PENDLETON
San Onofre Clinic 520450 Basilone Road Camp Pendleton, California 92055
DMIS ID: 0208
Clinic
BMC MCMH CHAPPO
22-PENDLTN
22 Area Branch Medical Clinic 22190 10th St Bldg 22190 Camp Pendleton, CA 92055
DMIS ID: 1974
Clinic
BMC MCMH HORNO
53-PENDLTN
Branch Medical Clinic Area 53 53 Area Branch Medical Clinic Bldg 533020 Camp Pendleton, Ca 92055
DMIS ID: 1406
Clinic
BMC MCMH LAS
FLORES 41-PENDLTN
Area 41 Medical Clinic - Las Flores Bldg 414006 Camp Pendleton, CA 92055
DMIS ID: 1409
Clinic
BMC MCMH LAS
PULGAS 43-PENDLTN
TBD DMIS ID: 1408
Clinic
BMC MCMH
MARGARITA 33-
PENDLTN
TBD DMIS ID: 1407
Clinic
BMC MCMH SAN
MATEO 62-PENDLTN
TBD DMIS ID: 6225
LARGE MARKET MTF - WEST
HT940220R0005 Page J2 of J10
BMC SAN ONOFRE
MCB
TBD DMIS ID: 1659
NBHC CORONADO Naval Base Coronado (North Island) Bldg 601 McCain Road San Diego, California 92135-7046
DMIS ID:
Clinic
NBHC EASTLAKE Naval Branch Health Clinic Eastlake 2300 Boswell Road, Suite 190 Chula Vista, California 91914
DMIS ID:
Clinic
NBHC MCRD SAN
DIEGO
Naval Branch Health Clinic Naval Base San Diego 2450 Craven Street Bldg 3300 San Diego, California 92104
DMIS ID:
Clinic
NBHC NAS NORTH
ISLAND
Naval Base Coronado (North Island) Bldg 601 McCain Road San Diego, California 92135-7046
DMIS ID: 0233
Clinic
NBHC NAVSTA SAN
DIEGO
2450 Craven Street Bldg 3300 San Diego, CA 92104
DMIS ID: 0701
Clinic
NBHC NTC SAN
DIEGO
2051 Cushing Road San Diego, CA 92106
DMIS ID: 0407
Clinic
NBHC TEMECULA Naval Branch Health Clinic Temecula 43500 Ridge Park Drive Temecula, California 92590
DMIS ID: 1412
Clinic
TRICARE
OUTPATIENT-CHULA
S A
644 Naples St Chula Vista, CA 91911
DMIS ID: 6215
CB-CLN
TRICARE
OUTPATENT-
C A O C
8808 Balboa Ave San Diego, CA 92123-1592
DMIS ID: 6207
CB-CLN
BHC NALF SAN
CLEMENTE ISLAND
TBD DMIS ID: 0414
Clinic
BMC SEAL BEACH Naval Hospital Camp Pendleton 800 Seal Beach Blvd
NWS BMC
Seal Beach, CA ;90740-5000
DMIS ID: 0509
LARGE MARKET MTF - WEST
HT940220R0005 Page J3 of J10
Puget Sound
AMC MADIGAN-
LEWIS
Madigan Army Medical Center 9040 Jackson Avenue Tacoma, Washington 98431-1100
DMIS ID: 0125
Hospital
NH BREMERTON Naval Hospital Bremerton One Boone Rd Bremerton, Washington 98312-1898
DMIS ID: 0126
Hospital
AF-LS-62nd MED FLT-
JBLM-MCHORD
62nd Medical Squadron 690 Barnes Blvd McChord AFB, Washington 98438
DMIS ID: 0395
LS-CLN
AHC-MCCHORD AFB 690 Barnes Blvd McChord AFB, Washington 98438
DMIS ID: 1485
Clinic
AMC MAMC ANNEX TBD DMIS ID: 1480
Clinic
CBMH MADIGAN-
PUYALLUP
10507 156th St E #112 Puyallup, WA 98374
DMIS ID: 6116
CB-CLN
CBMH SOUTH
SOUND-MADIGAN
500 Lilly Road NE Olympia, WA 98506
DMIS ID: 6117
CB-CLN
CTR FOR AUTISM-
CARES-MAMC-JBLM
Bldg 6993 Tacoma, Washington 98431
DMIS ID: 6085
Clinic
EBH 1/2 CLINIC-JBLM R3742 Railroad Ave Joint Base Lewis McChord, WA 98433
DMIS ID: 6185
EBH
EBH 2/2 CLINIC-JBLM R1880 10th St Joint Base Lewis McChord, WA 98433
DMIS ID: 6186
EBH
EBH 555 EN/17 FIB-
MAMC-JBLM
13815 8th St Joint Base Lewis McChord, WA 98433
DMIS ID: 1489
EBH
EBH SPECIAL
FORCES-JBLM
TBD DMIS ID: 6187
EBH
NBHC BANGOR Branch Health Clinic Bangor 2050 Barb Street Suite A Silverdale, Washington 98315-2099
DMIS ID: 1656
Clinic
NBHC PUGET SOUND Detachment Puget Sound Naval Shipyard Branch Health Clinic Puget Sound Naval Shipyard Building 940 Bremerton, Washington 98314
DMIS ID: 0398
Clinic
NHC OAK HARBOR
BIRTHING CTR
Naval Health Clinic Oak Harbor 3475 N. Saratoga Street Oak Harbor, Washington 98278-8800
DMIS ID: 0127
Hospital
LARGE MARKET MTF - WEST
HT940220R0005 Page J4 of J10
NICOE-INTREPD
SPIRIT-MAMC-JBLM
Intrepid Spirit Center 90390 Gardner Loop Road Tacoma, WA 98432
DMIS ID: 6229
NICOE
SCMH 1-2 GHOST
BDE CLINIC-JBLM
Building P3849 Railroad Ave Joint Base Lewis-McChord, WA 98433
DMIS ID:
Clinic
SCMH OKUBO-JBLM 11582 C St Joint Base Lewis-McChord, WA 98433
DMIS ID: 1649
Clinic
WINDER FAMILY
MEDICAL CL-JBLM
9119 Mil Park Ave Joint Base Lewis-McChord, WA 98433
DMIS ID: 1646
Clinic
NHCL EVERETT Branch Health Clinic Everett 2000 W. Marine View Drive Building 2010 Everett, Washington 98207
DMIS ID: 7138
Clinic
San Antonio
AMC BAMC-FSH Brooke Army Medical Center 3551 Roger Brooke Drive Bldg 3600 Fort Sam Houston, Texas 78234-6200
DMIS ID: 0109
Hospital
AF-ASU-59th MDW-
WHASC-LACKLAND
Wilford Hall Family Health Clinic Wilford Hall Ambulatory Surgical Center 2200 Bergquist Drive Lackland, Texas 78236
DMIS ID: 0117
Clinic
AF-C-359 MDG-JBSA-
RANDOLPH
Randolph Clinic - 359th Medical Group 221 3rd Street West, Bldg. 1040 Randolph AFB, Texas 78150-4801
DMIS ID: 0366
Clinic
AF-C-559th MDG-
REID-JBSA-LACK
Reid Clinic 1515 Truemper St., Bldg. 6612 Lackland AFB, Texas 78236
DMIS ID: 1350
Clinic
AF-CB-59th MDW-
BULVERDE CLINIC
25615 US-281 North San Antonio, TX 78258
DMIS ID: 6125
CB-CLN
AF-CB-59th MDW-
NRTH CNTRL CLN
TBD DMIS ID: 2170
CB-CLN
CBMH BAMC-
SCHERTZ
17115 N Interstate 35 Frontage Rd Schertz, TX 78154
DMIS ID: 6119
CB-CLN
CBMH BAMC-
WESTOVER
10010 Rogers Crossing San Antonio, TX 78251
DMIS ID: 6118
CB-CLN
CPT JENNFR
MORENO PCC-BAMC-
S
3100 Schofield Rd Fort Sam Houston, TX 78234 DMIS ID: 6095
Clinic
NICOE-CTR FR
INTRPD-BAMC-FSH
Center for the Intrepid 3551 Roger Brooke Drive Fort Sam Houston, TX 78234
DMIS ID: 6096
NICOE
LARGE MARKET MTF - WEST
HT940220R0005 Page J5 of J10
TAYLOR BURK H C-
BAMC-BULLIS
SPC Taylor J. Burk Clinic Bldg 5026, Camp Bullis Training Site 5410 Mac Williams Rd.
San Antonio, Texas 78257
DMIS ID: 1585
Clinic
TMC-MCWETHY-
BAMC-FSH
McWethy Troop Medical Clinic (TMC) 3051 Garden Avenue Suite 159 Bldg. 1279 JBSA Ft Sam Houston, Texas 78234
DMIS ID: 1587
Clinic
Sacramento
AF-MC-60th MEDGRP-
TRAVIS
60th Medical Group, David Grant USAF Medical Center 60th Medical Group 101 Bodin Circle Travis AFB, California 94535-1801
DMIS ID: 0014
Hospital
AF-CB-60th MED FLT-
MCCLELLAN
McClellan Outpatient Clinic 5342 Dudley Blvd McClellan AFB, CA 95652
DMIS ID: 0250
CB-CLN
Alaska
ACH BASSETT-
WAINWRIGHT
Bassett Army Community Hospital 4076 Neely Road Ft. Wainwright, Alaska 99703-7400
DMIS ID: 0005
Hospital
AF-H-673rd MEDGRP
JBER-ELMNDRF
673rd Medical Group 5955 Zeamer Avenue JBER, Alaska 99506
DMIS ID: 0006
Hospital
COMBINED MED
SVCS C-
WAINWRIGHT
Bassett Army Community Hospital 4066 Spruce St Fort Wainwright, AK 99703-7400
DMIS ID: 6030
Clinic
KAMISH CLINIC-
WAINWRIGHT
3406 Alder Ave Fort Wainwright, AK 99703
DMIS ID: 6033
Clinic
THC RICHARDSON 786 D ST
Anchorage, AK 99501-3524
DMIS ID: 0204
Clinic
AHC-GREELY 661 Arctic Rd Fort Greely, Alaska 99731
DMIS ID: 0202
Clinic
AF-C-354th MEDGRP-
EIELSON
354th Medical Group 2630 Central Avenue Eielson AFB, Alaska 99702-2325
DMIS ID: 0203
Clinic
Hawaii
AMC TRIPLER-
SHAFTER
Tripler Army Medical Center 1 Jarrett White Road ATT: Department or person you are looking for Tripler AMC, Hawaii 96859
DMIS ID: 0052
Hospital
LARGE MARKET MTF - WEST
HT940220R0005 Page J6 of J10
AF-C-15th MEDGRP
JBHP-HICKAM
15th Medical Group 755 Scott Circle Hickam AFB, Hawaii 96853-5399
DMIS ID: 0287
Clinic
AHC SCHOFIELD
BARRACKS
Desmond T. Doss Health Clinic Building G-683, 2nd Floor Schofield Barracks Wahiawa, Hawaii 96786
DMIS ID: 0437
Clinic
CBMH WARRIOR
OHANA-SHAFTER
Warrior Ohana Medical Home 91-1010 Shangrila Street Kapolei, Hawaii 96707-2102
DMIS ID: 6120
CB-CLN
EBH-SUB USE
DISORDER-TRIPLER
686 WAIANAE AVE
Honolulu, HI 96857-5460
DMIS ID: 6163
EBH
NHC HAWAII Naval Health Clinic Hawaii Makalapa Clinic 480 Central Ave JBPHH, Hawaii 96860-4908
DMIS ID: 0280
Clinic
NBHC NAVCAMS
EASTPAC
500 CENTER ST
Honolulu, HI 96786-3007
DMIS ID: 0284
Clinic
BMC MCAS
KANEOHE BAY
Naval Health Clinic Hawaii - Kaneohe Bay Branch Health Clinic Bldg 3089, D Street Kaneohe Bay, Hawaii 96863
DMIS ID: 0285
Clinic
NBHC MCB CAMP
H.M. SMITH
Branch Medical Clinic Camp Smith 480 Central Ave Pearl Harbor, HI 96860
DMIS ID: 1987
Clinic
Colorado
ACH EVANS-CARSON Evans Army Community Hospital 1650 Cochrane Circle Building 7500 Colorado Springs, Colorado 80913-4604
DMIS ID: 0032
Hospital
AF-ASU-10th
MEDGRP-ACADEMY
U.S. Air Force Academy Clinic - 10th Medical Group 4102 Pinion Drive Colorado Springs, Colorado 80840-4000
DMIS ID: 0033
Clinic
AF-C-21st MEDGRP-
PETERSON
Peterson Air Force Base Clinic - 21st Medical Group 559 Vincent Street Bldg 959 Colorado Springs, Colorado 80914-1540
DMIS ID: 0252
Clinic
AF-C-SCHRIEVER
MED SQ-PETERSON
Schriever Air Force Base Clinic 220 Falcon Parkway Colorado Springs, Colorado 80912
DMIS ID: 0033
Clinic
AF-C-460th MEDGRP-
BUCKLEY
460th Medical Group Bldg 600, MDG North: 275 S. Aspen Stop 89 Buckley AFB, CO Bldg 392, MDG South: 18230 E Silvercreek St, Buckley AFB, CO Buckley AFB Colorado 80011
DMIS ID: 7200
LARGE MARKET MTF - WEST
HT940220R0005 Page J7 of J10
EBH BLDG 1226-
CARSON
Embedded Behavioral Health Team 5 1226 Felkins St BLDG 1226 , First Floor Fort Carson, Colorado 80913
DMIS ID:
Clinic
EBH BLDG 1657-
CARSON
Embedded Behavioral Health Team Aviation (4CAB) 1848 Barkeley Ave BLDG 1657 , First Floor Fort Carson, Colorado 80913
DMIS ID:
Clinic
EBH BLDG 2361-
CARSON
Embedded Behavioral Health Team 1 (1SBCT) 6909 Titus Blvd
BLDG 2361
Fort Carson, Colorado 809
DMIS ID:
Clinic
EBH BLDG 2649-
CARSON
Embedded Behavioral Health Team 3 (3ABCT) 2649 Specker Ave BLDG 2649 , First Floor Fort Carson, Colorado 80913
DMIS ID:
Clinic
EBH BLDG 9481-
CARSON
TBD DMIS ID:
Clinic
MOUNTAIN POST
BEHAVIORAL HC
Mountain Post Behavioral Health Clinic 6541 Specker Ave
BLDG 1830
Fort Carson, Colorado 80913
DMIS ID: 6199
Clinic
TMC DIRAIMONDO-
CARSON
DiRaimondo Family Medicine Clinic 3920 Barkeley Ave Colorado Springs, CO 80906
DMIS ID: 7300
Clinic
TMC ROBINSON-
CARSON
Robinson Clinic 7490 Sutherland Cir
BLDG 7490
Fort Carson, Colorado 80913
DMIS ID: 7293
Clinic
Central Texas
AMC DARNALL-
HOOD
Carl R. Darnall Army Medical Center 36065 Santa Fe Avenue Fort Hood, Texas 76544-4752
DMIS ID: 0110
Hospital
BENNETT FAM CARE
CLINIC-HOOD
Bennett Health Clinic 31st Street and Battalion Avenue Fort Hood, Texas 76544
DMIS ID: 7236
Clinic
BLDG 36000-HOOD Carl R Darnall Army Medical Center 36000 Darnall Loop Fort Hood, TX 76544
DMIS ID: 7347
Clinic
CBMH COPPERAS
COVE-HOOD
Copperas Cove Medical Home 458 Town Square, Copperas Cove, TX 76522
DMIS ID: 6113
CB-CLN
CBMH HARKER
HEIGHTS-HOOD
Harker Heights Medical Home 201 E Central Texas Expy #200 Harker Heights, TX 76548
DMIS ID: 6111
CB-CLN
LARGE MARKET MTF - WEST
HT940220R0005 Page J8 of J10
CBMH KILLEEN-
HOOD
Killeen Medical Home 3404 Kaydence Court Killeen, Texas 76542
DMIS ID: 6112
CB-CLN
CBMH WEST
KILLEEN-HOOD
West Killeen Medical Home 5200 Bunny Trail Killeen, TX 76549
DMIS ID: 6109
CB-CLN
CHARLES MOORE
HLTH CLN-HOOD
Charles Moore Health Clinic 58 And 761 Tank Battalion Building 2245 Fort Hood, TX, 76544
DMIS ID: 6014
Clinic
EBH 5/6 EBHT BLDG
2255-HOOD
Kennedy Clinic Embedded Behavioral Health Team 5/6 2255 761st Tank Battalion and 52nd Street Fort Hood, Texas 76544-5095
DMIS ID: 6164
EBH
EBH 8 EBHT-HOOD Embedded Behavioral Health Team 8 Building 415 & 426 31st and Battalion Ave Fort Hood, Texas 76544-5095
DMIS ID: 6165
EBH
EBH TEAM A 1-1CD-
HOOD
Embedded Behavioral Health Team 1 1/1 CD 37026 Battalion Avenue (Between 75th and 76th Street) Fort Hood, Texas 76544
DMIS ID: 6171
EBH
EBH TEAM B 2-1CD-
HOOD
Embedded Behavioral Health Team 2 2/1 CD 29028 Old Ironside and 72nd Street Fort Hood, Texas 76544-5095
DMIS ID: 6172
EBH
EBH TEAM C 3-1CD-
HOOD
Embedded Behavioral Health Team 3 3/1 CD 21011 Old Ironsides Avenue (Between 53rd and 56th Street) Fort Hood, Texas 76544-5095
DMIS ID: 6173
EBH
EBH TEAM D 3CR-
HOOD
Embedded Behavioral Health Team 4 3CR 9414 Old Ironsides Avenue and 19th Street Fort Hood, Texas 76544-5095
DMIS ID: 6174
EBH
MONROE
CONSOLIDATED-
HOOD
Monroe Consolidated-Hood Building 33003, Battalion Avenue (across from 74th Street).
Fort Hood, Texas 76544
DMIS ID: 1592
Clinic
NICOE-INTREPID
SPIRIT-HOOD
Intrepid Spirit Center/TBI Clinic BLDG 36029 N. 58th Street Fort Hood, Texas 76544
DMIS ID: 6227
NICOE
RUSSELL COLLIER
HLTH CLIN-HOOD
Russell L. Collier Health Clinic 94043 Loop Rd Killeen, TX 76549
DMIS ID: 6076
Clinic
TMC-12-HOOD TMC 12 (AVN)
Building 7015 Murphy Loop Hood Army Airfield Fort Hood, TX 76544
DMIS ID: 1599
LARGE MARKET MTF - WEST
HT940220R0005 Page J9 of J10
TMC-14-HOOD Troop Medical Clinic (TMC) 14 Bldgs. 56501, Enfield Rd On North Fort Hood Headquarters Ave, and 18th Street North Fort Hood, Texas 76544
DMIS ID: 1601
Clinic
El Paso
AMC WILLIAM
BEAUMONT-BLISS
William Beaumont Army Medical Center 5005 N. Piedras St.
El Paso, Texas 79920-5001
DMIS ID: 0108
Hospital
CBMH DESERT SAGE-
BLISS
TBD DMIS ID: 6126
CB-CLN
CBMH-RIO BRAVO-
BLISS
10460 VISTA DEL SOL DR
STE 300
El Paso,TX 79925-7939
DMIS ID: 6103
Clinic
EAST BLISS CLINIC-
BLISS
21227 TORCH ST
El Paso, TX 79916
DMIS ID: 1259
Clinic
MENDOZA SOLDIER
FAM CC-BLISS
11335 SSG SIMS ST
El Paso, TX 79918-8033
DMIS ID: 1481
Clinic
SR LDR SUSTNMNT
USASMA-BLISS
11293 SERGEANT E CHURCHILL ST
El Paso, TX 79918-8001
DMIS ID: 6037
Clinic
TMC MCGREGOR
RANGE
9503 HAWK RD
Dona Ana, NM 88002-1192
DMIS ID: 1614
Clinic
TMC MEDICAL EXAM
STATION-BLISS
2496 RICKER RD
El Paso, TX 79916-3804
DMIS ID: 1617
Clinic
AHC MCAFEE-WHITE
SANDS MSL RAN
1363 ABERDEEN AVE
Dona Ana, NM 88002-5520
DMIS ID: 0327
Clinic
AF-C-49th MEDGRP-
HOLLOMAN
280 1ST ST # 15
Otero, NM 88330-8273
DMIS ID: 0084
Kansas
ACH IRWIN-RILEY Irwin Army Community Hospital 600 Caisson Hill Road Fort Riley, KS 66442-5037
DMIS ID: 0057
Hospital
AMH FARRELLY
AHC-RILEY
AMH Farrelly AHC-Ft. Riley Irwin Army Community Hospital 8072 Normandy Dr Fort Riley, KS 66442-7069
DMIS ID: 7337
LARGE MARKET MTF - WEST
HT940220R0005 Page J10 of J10
AVIATION CLINIC-
RILEY
Novosel Aviation Health Clinic 814 Marshall Airfield Rd.
Fort Riley, KS 66442
DMIS ID: 1539
Clinic
CBMH FLINT HILLS-
RILEY
Flint Hills Medical Home 623 Southwind Dr.
Junction City, KS 66441
DMIS ID: 6104
CB-CLN
CUSTER HILL HC-
RILEY
Custer Hill Health Clinic 7672 Estes Rd.
Fort Riley, KS 66442
DMIS ID: 7289
Clinic
AHC MUNSON-
LEAVENWORTH
Munson Army Health Center 550 Pope Avenue Fort Leavenworth, KS 66027-2332
DMIS ID: 0058
Clinic
TMC #1-USDB-
LEAVENWORTH
TMC #1 (USDB)-Ft Leavenworth Munson Army Health Center 1301 N Warehouse Rd Fort Leavenworth, KS 66027-2364
DMIS ID: 1530
Clinic
TMC #2-USDB 2-
LEAVENWORTH
TMC #2 (USDB)-Ft Leavenworth Munson Army Health Center 1301 N Warehouse Rd Fort Leavenworth, KS 66027-2364
DMIS ID: 1488
Clinic
AF-C-22nd MEDGRP-
MCCONNELL
22d Medical Group 57950 Leavenworth Street, Building 250 McConnell AFB, Kansas 67221-3506
DMIS ID: 0059
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