AMENDMENT NUMBER TWO - Outpatient Midlevel Services for the Woodrow Wilson Keeble Memorial Health Care Center-Sisseton Indian Health Service, Sisseton, South Dakota.

The Indian Health Service Great Plains Area is seeking outpatient midlevel provider services for the Woodrow Wilson Keeble Memorial Health Care Center in Sisseton, South Dakota, requiring up to two contract providers to deliver primary care services compatible with the facility's operating capacity and equipment on the Lake Traverse Reservation. The solicitation calls for midlevel providers with board certification, at least two years of family/general medicine experience, and current BLS certification to perform comprehensive primary care services typically found in rural civilian practices of similar size. Providers will be expected to see an average of 16 patients per day while working shifts of eight to ten hours between 8:00 AM and 8:00 PM Monday through Friday, with additional weekend and holiday coverage required. The contract structure includes a base period of six months beginning September 1, 2025, followed by nine subsequent six-month option periods, potentially extending through August 31, 2030, for a maximum duration of five years and six months. Amendment Number Two extended the proposal submission deadline from August 14, 2025, to August 19, 2025, at 12:00 PM CDT, and clarified that primary care physicians will see 8-12 patients per day with no emergency room responsibilities or on-call duties.

This opportunity is designated as a 100% Indian Small Business Economic Enterprise set-aside under NAICS code 621999 with a small business size standard of $20.5 million, and there is no current incumbent contractor for these services. The contract operates under a firm fixed-price commercial service structure with an estimated 2,600 hours per six-month period, emphasizing Indian preference in employment and subcontracting opportunities. Services will be performed at the Woodrow Wilson Keeble Memorial Health Care Center located in Sisseton, South Dakota 57262, with providers working a maximum of 45 hours per week in clinic hours that span Monday through Friday 8:00 AM to 8:00 PM and weekends 1:00 PM to 5:00 PM. The facility operates as an outpatient clinic without emergency room services, on-call responsibilities, or on-campus housing provisions for contractors. Contract administration will be handled by the Division of Acquisition Management in Aberdeen, South Dakota, with the potential total contract value extending across the five-year performance period through multiple option exercises.