Amendment 1 Attachment 3 - Project Room Contents.pdf
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- Attached to
- Eglin NICoE Initial Outfitting Project
- Solicitation number
- W9127S20Q6000
About this file
This is a combined synopsis and solicitation from the U.S. Army Corps of Engineers seeking quotes for outfitting and transition services at the Eglin Air Force Base National Intrepid Center of Excellence in Florida. The solicitation is for commercial items under FAR Part 12 and simplified acquisition procedures of FAR Part 13. Quotes are due by January 8, 2020 at 1:00pm Central Time. A site visit is scheduled for December 4, 2019 at 9:00am Central Time at the Eglin AFB West Visitors Center. This is a total set-aside for Service-Disabled Veteran-Owned Small Businesses. Interested contractors must RSVP by November 29, 2019 and provide personal information for base access. The solicitation and attachments provide additional details on the required products and services.
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Project Room Contents
FY20 NATIONAL INTREPID CENTER OF EXCELLENCE (NICOE)
INITIAL OUTFITTING AND TRANSITION (IO-T)
EGLIN AFB, FL
Projected Year: 2020 Midpoint Year: 2020
1391 Processor ID: 93775 DMIS ID: 0042 State: FL
Facility: 96th MEDICAL GROUP Installation: EGLIN AFB
Project Funding Source: OM - Operations and Maintenance
Project Created: 02 Aug 2012 12:26PM ET by Brian Helms Space Plan Last Edited: 06 Dec 2019 04:44PM ET by Deborah Hurrell-Zitelman
Contents List Created: 17 Jan 2013 01:27PM ET by Brian Helms Contents List Last Edited: 13 Dec 2019 04:15PM ET by Deborah Hurrell-Zitelman
Report Generated: 13 Dec 2019 04:18PM ET
Project Room Contents (13 Dec 2019 04:18PM ET)
Privacy Act – FOR OFFICIAL USE ONLY (Page 2)
Department: COMMON AREAS Functional Area: LOBBY Room Code: LOB01 Room Area: 1440 Agency Room Name: Lobby / Main Corridor Staff: 0 Criteria Room Name: Lobby Blueprint #: C100
JSN Content Name Qty Unit of Issue
Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN
U7000 Display, Art 3 EA C OM IO-T to provide a model equal to Grace Tyler Display Case model GTAP36LEDS. Model to include frameless tempered glass, silver finish MDF base and canopy, adjustable shelves, 10 adjustable side lights and 3 overhead lights, sliding glass door with plunger lock.
Room Code: LOB01 Room Area: 664 Agency Room Name: Central Park/Healing Garden Staff: 0 Criteria Room Name: Lobby Blueprint #: 102
Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN
F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
Room Code: WRC01 Room Area: 140 Agency Room Name: Family Waiting Staff: 0 Criteria Room Name: WAITING Blueprint #: 101
Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN
Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
Room Code: BX001 Room Area: 15 Agency Room Name: Alcove, Vending Staff: 0 Criteria Room Name: Exchange Vending Area - Utility Required Blueprint #: 106.1
Privacy Act – FOR OFFICIAL USE ONLY (Page 3)
Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN
A6030 Machine, Vending 1 EA R OM . A Vending machine provided by Others.
Room Code: NCWD4 Room Area: 60 Agency Room Name: Alcove, Day Room Break Staff: 0 Criteria Room Name: Alcove, Refreshment Center Blueprint #: 105.1
Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F2000 Basket, Wastepaper, Fire Resistant 1 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
K1552 Brewer, Coffee, Auto, Elect, 3 Burner, Front/Back 1 EA R OM J A Relocate Keurig K155 from existing Invisible Wounds Clinic.
K4665 Oven, Microwave, Consumer 1 EA R OM . A Relocate Panasonic Inverter The Genius Sensor 1250 from existing Invisible Wounds Clinic.
R7250 Refrigerator/Freezer, 20 Cubic Feet 1 EA R OM . A Relocate Amana model AS12575GRS00 from existing Invisible Wounds Clinic. Ensure icemaker has plumbed water connection.
Room Code: SRSE1 Room Area: 60 Agency Room Name: Storage Room, Equipment/Shelving Staff: 0 Criteria Room Name: Storage Room, Equipment/Shelving Blueprint #: CP
Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN
M2070 Shelving, Storage, 77hx36wx18d 2 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).
Privacy Act – FOR OFFICIAL USE ONLY (Page 4)
Department: COMMON AREAS Functional Area: EDUCATION Room Code: CLR01 Room Area: 300 Agency Room Name: Classroom, (One with table w/chairs, the other w/conference table/chairs Staff: 0
Criteria Room Name: Classroom, Table w/chair Blueprint #: 103
Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F2000 Basket, Wastepaper, Fire Resistant 2 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.
Room Code: CLR01 Room Area: 300 Agency Room Name: Classroom, (One with table w/chairs, the other w/conference table/chairs
Criteria Room Name: Classroom, Table w/chair Blueprint #: 103.1
Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F2000 Basket, Wastepaper, Fire Resistant 2 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
Privacy Act – FOR OFFICIAL USE ONLY (Page 5)
Room Code: SRSE1 Room Area: 60 Agency Room Name: Audio/Visual Supply Room Staff: 0 Criteria Room Name: Audio/Visual Supply Room Blueprint #: 104
Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN
M2070 Shelving, Storage, 77hx36wx18d 2 EA R OM
Department: COMMON AREAS Functional Area: ADMINISTRATION Room Code: OFA04 Room Area: 100 Agency Room Name: Office, NICoE Director Staff: 1 Criteria Room Name: OFFICE, ADMINISTRATIVE, PRIVATE Blueprint #: 112
Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F2000 Basket, Wastepaper, Fire Resistant 1 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.
M1825 Printer, Computer 1 EA R OM . A
Room Code: OFDC1 Room Area: 120 Agency Room Name: Office, Private Director of Clinical Services Staff: 1 Criteria Room Name: OFFICE, PROVIDER, BEHAVIORAL HEALTH Blueprint #: 110
Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
Privacy Act – FOR OFFICIAL USE ONLY (Page 6)
F2000 Basket, Wastepaper, Fire Resistant 1 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.
Room Code: OFA05 Room Area: 100 Agency Room Name: Office, Shared Admin Staff: 2 Criteria Room Name: OFFICE, ADMINISTRATIVE, SHARED, 2-PERSON Blueprint #: 111
Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F2000 Basket, Wastepaper, Fire Resistant 2 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
M1801 Computer, Microprocessing, w/Flat Panel Monitor 2 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.
Room Code: OFA03 Room Area: 50 Agency Room Name: NCOIC / Admin / Copy Staff: 1 Criteria Room Name: Administrative Cubicle Blueprint #: 109
Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN
Privacy Act – FOR OFFICIAL USE ONLY (Page 7)
F2000 Basket, Wastepaper, Fire Resistant 2 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F2550 Shredder, Paper Heavy Duty 1 EA C OM . A
M1801 Computer, Microprocessing, w/Flat Panel Monitor 2 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.
M1810 Copier, Floor Standing, Digital 1 EA R OM . B Coordinate with vendor for relocation/installation in new NICoE.
M1825 Printer, Computer 1 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.
M1855 Facsimile Machine 1 EA R OM . A
Department: COMMON AREAS Functional Area: BUILDING SUPPORT Room Code: JANC1 Room Area: 40 Agency Room Name: Janitor Closet Staff: 0 Criteria Room Name: Janitor Closet Blueprint #: 113
Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN
F0500 Cart, Janitor's 1 EA R OM Relocate from existing Invisible Wounds Clinic.
F0505 Bucket, Mop, With Wringer, 26 Quart 1 EA R OM Relocate from existing Invisible Wounds Clinic.
F2020 Can, Trash, 44 Gallon 1 EA R OM Relocate from existing Invisible Wounds Clinic.
M2070 Shelving, Storage, 77hx36wx18d 1 EA R OM
Department: COMMON AREAS Functional Area: BUILDING SUPPORT Room Code: JANC1 Room Area: 40 Agency Room Name: Janitor Closet Staff: 0 Criteria Room Name: Janitor Closet Blueprint #: 320
Privacy Act – FOR OFFICIAL USE ONLY (Page 8)
Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN
F0500 Cart, Janitor's 1 EA R OM Relocate from existing Invisible Wounds Clinic.
F0505 Bucket, Mop, With Wringer, 26 Quart 1 EA R OM Relocate from existing Invisible Wounds Clinic.
F2020 Can, Trash, 44 Gallon 1 EA R OM Relocate from existing Invisible Wounds Clinic.
Department: PATIENT AREA CLINICAL FUNCTIONS Functional Area: RECEPTION AREA Room Code: RECP1 Room Area: 150 Agency Room Name: Reception Staff: 3 Criteria Room Name: Reception/Control Outpatient Blueprint #: 300
Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F2000 Basket, Wastepaper, Fire Resistant 3 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
M1801 Computer, Microprocessing, w/Flat Panel Monitor 3 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.
M1810 Copier, Floor Standing, Digital 1 EA R OM . B Coordinate with vendor for relocation/installation in new NICoE.
Room Code: CLSC1 Room Area: 15 Agency Room Name: Patient Check-in Kiosk Staff: 0 Criteria Room Name: Patient Education Kiosk/Alcove Blueprint #: 300.2
Privacy Act – FOR OFFICIAL USE ONLY (Page 9)
Room Code: WRC01 Room Area: 300 Agency Room Name: Patient Waiting Staff: 0 Criteria Room Name: Waiting Room Blueprint #: C101
Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN
Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
Room Code: CLSC2 Room Area: 60 Agency Room Name: Patient Intake Cubicles (x4) Staff: 0 Criteria Room Name: Patient Education Cubicle Blueprint #: 300.1
Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN
F2000 Basket, Wastepaper, Fire Resistant 1 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
M1801 Computer, Microprocessing, w/Flat Panel Monitor 4 EA R OM . A
Department: PATIENT AREA CLINICAL FUNCTIONS Functional Area: PATIENT AREA Room Code: EXRG1 Room Area: 100 Agency Room Name: Exam Room Staff: 0 Criteria Room Name: Primary Care Exam Blueprint #: 308
Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1011 Telephone, Desk, 1 Line 1 EA R OM
A5107 Dispenser, Glove, Surgical/Examination, Wall Mntd 1 EA R OM
Privacy Act – FOR OFFICIAL USE ONLY (Page 10)
Relocate 3-Glove Box from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
A5108 Waste Disposal Unit, Sharps 1 CS R OM Relocate Sharps containers from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE
E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D 1 EA R OM Relocate Storage cart from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F0340 Stool, Self Adjusting 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).
F2000 Basket, Wastepaper, Fire Resistant 1 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.
M4100 Sphygmomanometer, Aneroid, Wall Mounted 1 EA R OM Relocate Sphygmomanometer from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
M4116 Monitor, Vital Signs 1 EA R OM . A Relocate Welch Allyn on Mobile Stand from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
M4200 Otoscope/Ophthalmoscope, Wall Mounted 1 EA R OM . A Relocate otoscopes from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
M9025 Table, Examination/Treatment, With Cabinet 1 EA R OM . A Relocate Midmark model Ritter 204-011 from existing Invisible Wounds Clinic.
Room Code: TLTU1 Room Area: 55 Agency Room Name: Toilet, Patient Staff: 0 Criteria Room Name: Patient Toilet Blueprint #: 313
Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN
Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
Privacy Act – FOR OFFICIAL USE ONLY (Page 11)
Agency Room Name: Toilet, Patient Staff: 0 Criteria Room Name: Patient Toilet Blueprint #: 340
Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN
Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
Room Code: DAYR1 Room Area: 400 Agency Room Name: Dayroom (primary area for IOP patients during the day) Staff: 0 Criteria Room Name: DAYROOM Blueprint #: 105
Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F2000 Basket, Wastepaper, Fire Resistant 2 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.
U0007 PT / OT Gaming System 1 EA R OM . A Relocate Nintendo Switch from existing Invisible Wounds Clinic.
U0020 Chair, Recliner, Massage 2 EA R OM . A Relocate iRobotics Sofy Massage Chair from existing Invisible Wounds Clinic.
Room Code: EXR10 Room Area: 120 Agency Room Name: Exam Room, Consult (for Clinical Pharmacist and other consultants)
Criteria Room Name: EXAM, CONSULT Blueprint #: 306
Privacy Act – FOR OFFICIAL USE ONLY (Page 12)
Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
A5107 Dispenser, Glove, Surgical/Examination, Wall Mntd 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).
A5108 Waste Disposal Unit, Sharps 1 CS R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).
E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D 1 EA R OM Relocate Storage cart from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F0340 Stool, Self Adjusting 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).
F2000 Basket, Wastepaper, Fire Resistant 1 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.
M1825 Printer, Computer 1 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.
M4100 Sphygmomanometer, Aneroid, Wall Mounted 1 EA R OM Relocate Sphygmomanometer from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
M4116 Monitor, Vital Signs 1 EA R OM . A Relocate Welch Allyn on Mobile Stand from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
M4200 Otoscope/Ophthalmoscope, Wall Mounted 1 EA R OM . A Relocate otoscopes from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
Relocate Midmark model Ritter 204-011 from existing Invisible Wounds Clinic.
Criteria Room Name: Exam Rm, Army Blueprint #: 310
Privacy Act – FOR OFFICIAL USE ONLY (Page 13)
Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
A5107 Dispenser, Glove, Surgical/Examination, Wall Mntd 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).
A5108 Waste Disposal Unit, Sharps 1 CS R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).
E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D 1 EA R OM Relocate Storage cart from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F0340 Stool, Self Adjusting 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).
F2000 Basket, Wastepaper, Fire Resistant 1 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.
M4100 Sphygmomanometer, Aneroid, Wall Mounted 1 EA R OM Relocate Sphygmomanometer from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
M4116 Monitor, Vital Signs 1 EA R OM . A Relocate Welch Allyn on Mobile Stand from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
M4200 Otoscope/Ophthalmoscope, Wall Mounted 1 EA R OM . A Relocate otoscopes from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
M9035 Chair/Table, Exam/Treatment, Combination Unit 1 EA R OM . A . . . . 7110LL0006217 Relocate Chattanooga Adapta Summit 7-Section Table Chat3321 from existing Invisible Wounds Clinic.
Criteria Room Name: Exam Rm, Army Blueprint #: 345
Privacy Act – FOR OFFICIAL USE ONLY (Page 14)
A5107 Dispenser, Glove, Surgical/Examination, Wall Mntd 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).
A5108 Waste Disposal Unit, Sharps 1 CS R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).
E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D 1 EA R OM Relocate Storage cart from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F0340 Stool, Self Adjusting 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).
F2000 Basket, Wastepaper, Fire Resistant 1 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.
M4100 Sphygmomanometer, Aneroid, Wall Mounted 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).
M4116 Monitor, Vital Signs 1 EA R OM . A Relocate Welch Allyn on Mobile Stand from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
M4200 Otoscope/Ophthalmoscope, Wall Mounted 1 EA R OM . A Relocate otoscopes from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
Criteria Room Name: Exam Rm, Army Blueprint #: 347
Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN
Privacy Act – FOR OFFICIAL USE ONLY (Page 15)
A5108 Waste Disposal Unit, Sharps 1 CS R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).
E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D 1 EA R OM Relocate Storage cart from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F0340 Stool, Self Adjusting 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).
F2000 Basket, Wastepaper, Fire Resistant 1 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.
M4100 Sphygmomanometer, Aneroid, Wall Mounted 1 EA R OM Relocate Sphygmomanometer from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
M4116 Monitor, Vital Signs 1 EA R OM . A Relocate Welch Allyn on Mobile Stand from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
M4200 Otoscope/Ophthalmoscope, Wall Mounted 1 EA R OM . A Relocate otoscopes from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
Criteria Room Name: Exam Rm, Army Blueprint #: 348
Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
Privacy Act – FOR OFFICIAL USE ONLY (Page 16)
E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D 1 EA R OM Relocate Storage cart from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F0340 Stool, Self Adjusting 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).
F2000 Basket, Wastepaper, Fire Resistant 1 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.
M4100 Sphygmomanometer, Aneroid, Wall Mounted 1 EA R OM Relocate Sphygmomanometer from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
M4116 Monitor, Vital Signs 1 EA R OM . A Relocate Welch Allyn on Mobile Stand from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
M4200 Otoscope/Ophthalmoscope, Wall Mounted 1 EA R OM . A Relocate otoscopes from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
Criteria Room Name: Exam Rm, Army Blueprint #: 349
Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
A5107 Dispenser, Glove, Surgical/Examination, Wall Mntd 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).
Privacy Act – FOR OFFICIAL USE ONLY (Page 17)
E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D 1 EA R OM Relocate Storage cart from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F0340 Stool, Self Adjusting 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).
F2000 Basket, Wastepaper, Fire Resistant 1 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.
M4100 Sphygmomanometer, Aneroid, Wall Mounted 1 EA R OM Relocate Sphygmomanometer from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
M4116 Monitor, Vital Signs 1 EA R OM . A Relocate Welch Allyn on Mobile Stand from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
M4200 Otoscope/Ophthalmoscope, Wall Mounted 1 EA R OM . A Relocate otoscopes from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
To be purchased/installed in new NICOE by Others (Intrepid Fallen Heroes Fund).
Criteria Room Name: Primary Care Exam Blueprint #: 350
Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
A5107 Dispenser, Glove, Surgical/Examination, Wall Mntd 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).
A5108 Waste Disposal Unit, Sharps 1 CS R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).
E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D 1 EA R OM Relocate Storage cart from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
Privacy Act – FOR OFFICIAL USE ONLY (Page 18)
F0340 Stool, Self Adjusting 1 EA R OM
F2000 Basket, Wastepaper, Fire Resistant 1 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.
M4100 Sphygmomanometer, Aneroid, Wall Mounted 1 EA R OM Relocate Sphygmomanometer from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
M4116 Monitor, Vital Signs 1 EA R OM . A Relocate Welch Allyn on Mobile Stand from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
M4200 Otoscope/Ophthalmoscope, Wall Mounted 1 EA R OM . A Relocate otoscopes from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
To be purchased/installed in new NICOE by Others (Intrepid Fallen Heroes Fund).
Agency Room Name: Speech Therapist Testing Staff: 1 Criteria Room Name: OFFICE, ADMINISTRATIVE, PRIVATE Blueprint #: 214
Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F2000 Basket, Wastepaper, Fire Resistant 1 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.
Privacy Act – FOR OFFICIAL USE ONLY (Page 19)
U1808 Monitor, for Computer, Wall Mounted 60" 1 EA R OM . A
U5013 Bicycle, Recumbent, w-Virtual Reality 1 EA R OM . A To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).
U6013 Therapy System, Integrated (BITS) 1 EA R OM . A
Agency Room Name: Speech Therapist Office & Testing Staff: 1 Criteria Room Name: OFFICE, ADMINISTRATIVE, PRIVATE Blueprint #: 210
Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F2000 Basket, Wastepaper, Fire Resistant 1 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.
M1825 Printer, Computer 1 EA R OM . A
U1808 Monitor, for Computer, Wall Mounted 60" 1 EA C OM . A
Room Code: EXR11 Room Area: 50 Agency Room Name: Alcove, Scale Staff: 0 Criteria Room Name: ALCOVE, HEIGHT / WEIGHT Blueprint #: C306.1
Log
M4020 Scale, Person Weighing, High Capacity 1 EA R OM . A
Privacy Act – FOR OFFICIAL USE ONLY (Page 20)
Relocate Detecto 6854 DHR with height rod from existing Invisible Wounds Clinic.
Room Code: OFD01 Room Area: 120 Agency Room Name: Office, Clinical Pharmacist Staff: 1 Criteria Room Name: OFFICE, PROVIDER, PRIVATE Blueprint #: 305
Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F2000 Basket, Wastepaper, Fire Resistant 1 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.
Room Code: OFD01 Room Area: 100 Agency Room Name: Office, Nutrisionist Staff: 1 Criteria Room Name: OFFICE, PROVIDER, PRIVATE Blueprint #: 352
Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F2000 Basket, Wastepaper, Fire Resistant 1 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
Privacy Act – FOR OFFICIAL USE ONLY (Page 21)
Agency Room Name: Office, Primary Care MD Staff: 1 Criteria Room Name: OFFICE, PROVIDER, PRIVATE Blueprint #: 307
Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F2000 Basket, Wastepaper, Fire Resistant 1 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.
Department: PATIENT AREA CLINICAL FUNCTIONS Functional Area: CASE MANAGERS
Agency Room Name: Office, Case Manager Staff: 1 Criteria Room Name: OFFICE, PROVIDER, PRIVATE Blueprint #: 303
Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F2000 Basket, Wastepaper, Fire Resistant 1 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
Privacy Act – FOR OFFICIAL USE ONLY (Page 22)
Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.
Criteria Room Name: OFFICE, PROVIDER, PRIVATE Blueprint #: 311
Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F2000 Basket, Wastepaper, Fire Resistant 1 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.
Criteria Room Name: OFFICE, PROVIDER, PRIVATE Blueprint #: 339
Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1011 Telephone, Desk, 1 Line 1 EA R OM
Privacy Act – FOR OFFICIAL USE ONLY (Page 23)
Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.
Department: PATIENT AREA CLINICAL FUNCTIONS Functional Area: INTERDISCIPLINARY PAIN MANAGEMENT CLINIC (IPMC) Room Code: PTBT1 Room Area: 150 Agency Room Name: Acupuncture / Massage Therapy Staff: 0 Criteria Room Name: Physical Therapy Back Therapy Program Blueprint #: 341.1
Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
A5104 Cart, Medical Waste Disposal, Mobile w/Foot Pedal 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).
A5107 Dispenser, Glove, Surgical/Examination, Wall Mntd 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).
E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D 1 EA R OM Relocate Storage cart from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F0340 Stool, Self Adjusting 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).
F2000 Basket, Wastepaper, Fire Resistant 1 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
M3070 Hamper, Linen, Mobile, w/Lid 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).
M8220 Light, Infrared 1 EA C OM . A M8810 Stand, Mayo 1 EA R OM
To be purchased/ installed in new NICOE by Others (Intrepid Fallen Heroes Fund).
Privacy Act – FOR OFFICIAL USE ONLY (Page 24)
U4567 Cabinet, Instrument w-Glass Doors 60h x 36w x 18d 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).
U5011 Electrotherapy Device, Microlight System 1 EA C OM . A IO-T to provide a model equal to Acutron Microlight System. Eastwestmed, Inc. with all options and features listed in the salient feature file.
Department: PATIENT AREA CLINICAL FUNCTIONS Functional Area: INTERDISCIPLINARY PAIN MANAGEMENT CLINIC (IPMC)
Agency Room Name: Acupuncture / Massage Therapy Staff: 0 Criteria Room Name: Physical Therapy Back Therapy Program Blueprint #: 341.2
Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
A5104 Cart, Medical Waste Disposal, Mobile w/Foot Pedal 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).
A5107 Dispenser, Glove, Surgical/Examination, Wall Mntd 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).
E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).
F0340 Stool, Self Adjusting 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).
F2000 Basket, Wastepaper, Fire Resistant 1 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.
M3070 Hamper, Linen, Mobile, w/Lid 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).
M8220 Light, Infrared 1 EA C OM . A
M8810 Stand, Mayo 1 EA R OM
Privacy Act – FOR OFFICIAL USE ONLY (Page 25)
Relocate Chattanooga Adapta Summit 7-Section Table Chat3321 from existing Invisible Wounds Clinic.
U5002 Pain Management Device 1 EA R OM . A
U5011 Electrotherapy Device, Microlight System 1 EA R OM . A Relocate Acutron Microlight System, Eastwestmed, Inc. from existing Invisible Wounds Clinic.
Department: PATIENT AREA CLINICAL FUNCTIONS Functional Area: INTERDISCIPLINARY PAIN MANAGEMENT CLINIC (IPMC)
Agency Room Name: Chiro Treatment Staff: 0 Criteria Room Name: Physical Therapy Back Therapy Program Blueprint #: 319
Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
A5107 Dispenser, Glove, Surgical/Examination, Wall Mntd 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).
A5108 Waste Disposal Unit, Sharps 1 CS R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).
E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D 1 EA R OM Relocate Storage cart from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F0340 Stool, Self Adjusting 1 EA R OM Relocate Stools from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F2000 Basket, Wastepaper, Fire Resistant 1 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.
M9045 Table, Chiropractic 1 EA R OM . A . . . A
Privacy Act – FOR OFFICIAL USE ONLY (Page 26)
Department: PATIENT AREA CLINICAL FUNCTIONS Functional Area: INTERDISCIPLINARY PAIN MANAGEMENT CLINIC (IPMC)
Agency Room Name: Chiro Treatment Staff: 0 Criteria Room Name: Physical Therapy Back Therapy Program Blueprint #: 321
Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
A5107 Dispenser, Glove, Surgical/Examination, Wall Mntd 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).
A5108 Waste Disposal Unit, Sharps 1 CS R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).
E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D 1 EA R OM Relocate Storage cart from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F0340 Stool, Self Adjusting 1 EA R OM Relocate Stools from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F2000 Basket, Wastepaper, Fire Resistant 1 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.
M9045 Table, Chiropractic 1 EA R OM . A . . . A
Department: PATIENT AREA CLINICAL FUNCTIONS Functional Area: INTERDISCIPLINARY PAIN MANAGEMENT CLINIC (IPMC) Room Code: TRGM1 Room Area: 225 Agency Room Name: Treatment Room, IPMC, with mobile C-Arm Staff: 0 Criteria Room Name: Treatment Room, General, 1 Bed Blueprint #: 346
Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN
Privacy Act – FOR OFFICIAL USE ONLY (Page 27)
A5104 Cart, Medical Waste Disposal, Mobile w/Foot Pedal 1 EA R OM
A5107 Dispenser, Glove, Surgical/Examination, Wall Mntd 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).
E0948 Cart, General Storage, Mobile, 42"H x 32"W x 22"D 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).
F0340 Stool, Self Adjusting 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).
F2010 Basket, Wastepaper, Step-On 1 EA C OM F3200 Clock, Battery, 12" Diameter 1 EA R OM
Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
L1502 Centrifuge, Tabletop 1 EA C OM . A IO-T to provide a model equal to Emcyte Executive Series II Centrifuge with all options and features listed in the salient feature file.
M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.
M3070 Hamper, Linen, Mobile, w/Lid 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).
M3072 Frame, Infectious Waste Bag w/Lid 1 EA R OM To be purchased/installed in new NICoE by Others (Intrepid Fallen Heroes Fund).
M4100 Sphygmomanometer, Aneroid, Wall Mounted 1 EA R OM Relocate Sphygmomanometer from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
M4116 Monitor, Vital Signs 1 EA R OM . A Relocate Welch Allyn on Mobile Stand from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
M4200 Otoscope/Ophthalmoscope, Wall Mounted 1 EA R OM . A To be purchased/ installed in new NICoE by Others (Intrepid Fallen Heroes Fund).
M4655 Stretcher, Mobile, CRS, 9 Position 1 EA R OM Relocate Stryker Medical Prime Serial #20180006600310 from existing Invisible Wounds Clinic.
M7405 Light, Exam, Ceiling Mounted 1 EA R OM . F Relocate Sunnex Leo Minor from existing Invisible Wounds Clinic.
M8810 Stand, Mayo 1 EA R OM To be purchased/ installed in new NICOE by Others (Intrepid Fallen Heroes Fund).
U0060 Defibrillator, AED, with Wall Cabinet, Recessed 1 EA R OM
U4567 Cabinet, Instrument w-Glass Doors 60h x 36w x 18d 1 EA R OM
Privacy Act – FOR OFFICIAL USE ONLY (Page 28)
X2100 Scanner, Ultrasound, General Purpose 1 EA C OM . B IO-T to provide a model equal to Philips Epiq 5G with all options and features listed in the salient feature file.
X4890 Rad/Fluoro Unit, Digital, Mobile, C-Arm 1 EA C OM . F IO-T to provide a model equal to GE OEC Elite with all options and features listed in the salient feature file.
Department: PATIENT AREA CLINICAL FUNCTIONS Functional Area: INTERDISCIPLINARY PAIN MANAGEMENT CLINIC (IPMC)
Agency Room Name: Office, Pain MD Staff: 1 Criteria Room Name: OFFICE, PROVIDER, PRIVATE Blueprint #: 316
Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F2000 Basket, Wastepaper, Fire Resistant 1 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.
Department: PATIENT AREA CLINICAL FUNCTIONS Functional Area: BEHAVIORAL HEALTH
Agency Room Name: Office, Psychologist Staff: 1 Criteria Room Name: OFFICE, PROVIDER, BEHAVIORAL HEALTH Blueprint #: 337
Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1011 Telephone, Desk, 1 Line 1 EA R OM
Privacy Act – FOR OFFICIAL USE ONLY (Page 29)
Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.
Agency Room Name: Office, Neuro-Psych Staff: 1 Criteria Room Name: OFFICE, PROVIDER, BEHAVIORAL HEALTH Blueprint #: 333
Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F2000 Basket, Wastepaper, Fire Resistant 1 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.
Agency Room Name: Office, NP Psych Staff: 1 Criteria Room Name: Office, Mental Health Provider Blueprint #: 336
Log
Privacy Act – FOR OFFICIAL USE ONLY (Page 30)
Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
M1801 Computer, Microprocessing, w/Flat Panel Monitor 2 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.
Agency Room Name: Office, BH / SW Providers Staff: 1 Criteria Room Name: OFFICE, PROVIDER, BEHAVIORAL HEALTH Blueprint #: 326
Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F2000 Basket, Wastepaper, Fire Resistant 1 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.
Criteria Room Name: Office, Mental Health Provider Blueprint #: 327
Privacy Act – FOR OFFICIAL USE ONLY (Page 31)
Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F2000 Basket, Wastepaper, Fire Resistant 1 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA R OM . A Relocate from existing Invisible Wounds Clinic. MDG IT DEPT responsible for installation.
Criteria Room Name: Office, Mental Health Provider Blueprint #: 329
Log Cat Fund Src Util1 Util2 Util3 Util4 Util5 Util6 NSN
A1011 Telephone, Desk, 1 Line 1 EA R OM Relocate from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F2000 Basket, Wastepaper, Fire Resistant 1 EA R OM Relocate waste basket from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
F3200 Clock, Battery, 12" Diameter 1 EA R OM Relocate clocks from existing Invisible Wounds Clinic. Verify existing quantity to be moved to new NICoE.
M1801 Computer, Microprocessing, w/Flat Panel Monitor 1 EA R OM .
This is the start of the file's text. The full file is on GovTribe.
File details come from the government source that posted it. Updated .