NAR Medical Depot, LLC

NAR Medical Depot, LLC — a division of North American Rescue LLC operating as Two Rivers Medical — supplies medical, surgical, and dental equipment, supplies, and training simulators to federal agencies as a prime contractor on full-and-open federal medical supply vehicles, with 98 percent of recent awards as prime work and no SBA set-aside posture. The company is a for-profit limited liability company headquartered in Greer, South Carolina, and operates as a subsidiary of North American Rescue Holdings, LLC. NAR Medical Depot competes without set-aside designations across commercial item procurements and holds a $49 million Indefinite Delivery Contract with the Defense Logistics Agency Troop Support Medical through February 2030, placed in February 2025.

The vendor's customer concentration is heavily weighted toward defense medical supply procurement. The top five agencies account for 92 percent of combined potential value across all awards, led by the Department of the Army Medical Command (558 awards, $729.1 million combined potential value) and the Defense Logistics Agency Troop Support Medical (7,344 awards, $646.8 million combined potential value). The gap between award count and dollar concentration reveals the DLA relationship: while the DLA places far more orders (7,344 awards), the Army Medical Command's smaller award volume ($729.1 million) anchors the highest dollar share. Additional customer exposure includes the Defense Health Agency ($228.6 million combined potential value across 33 awards), the Department of Homeland Security Customs and Border Protection ($137.6 million across 26 awards), and the Department of the Navy Bureau of Medicine and Surgery ($9.3 million across 87 awards). Representative DLA Medical Supply Chain delivery orders from the past six months include a $420.3 million double dental suite with equipment (July 2, 2026), a $224.9 million dental suite with sterilization (April 29, 2026), a $164.3 million tommy mannequin with amputation trainer (June 8, 2026), and multiple standing orders for field hospital beds, litter carriers, tourniquets, first aid kits, and surgical supplies ranging from $1,500 to $50,000 per order. Representative BPA calls under the Customs and Border Protection Medical, Dental, and Surgical Supplies and Equipment blanket purchase agreement include a $363,900 individual first aid kit call (U.S. Customs and Border Protection, September 17, 2026) and a $118,000 JFAK kit call (U.S. Coast Guard, April 2, 2026). FEMA has issued calls for STAT Kit 750 emergency medical kits ($18,150, September 2026) and oxygen cylinder accessories ($10,400, January 2026), both placed under the same CBP BPA.

The vendor's principal parent vehicle is the DLA Troop Support Medical IDIQ (SPM2DE14D7600), which anchors 989 task orders with combined potential value of $1.3 million (note: this represents an exceptionally large contract with many small orders). Additional parent vehicles include the DLA Troop Support Medical IDIQ (SPE2DS21D0005) with 560 task orders and $28.4 million combined potential value, the GSA Federal Supply Schedule V797P4165A with 420 task orders and $1.2 million combined potential value, and the Army Medical Command IDIQ (W81XWH14D0063) with 250 task orders and $39.2 million combined potential value. Activity has grown substantially year over year across 2022–2025 (345 to 1,176 awards), with 228 awards recorded to date in 2026. Only thirteen awards (combined potential value $3.4 million) reach ultimate completion within the next twenty-four months, indicating minimal recompete exposure in that window.

NAR Medical Depot also operates as a subcontractor, appearing in 238 sub-awards (2 percent of recent work) across multiple prime relationships, with Cardinal Health 200, LLC as the dominant prime, accounting for the majority of visible sub engagement. Sub work includes medical and surgical equipment and supplies fulfillment — for example, IFAK supplement kits, decomposition needles, chest seals, tactical combat casualty care equipment, and regional trauma boxing supplies — flowing to DLA through Cardinal Health's prime positions.

The vendor's capability portfolio centers on medical and surgical instrument manufacturing (2,928 awards), medical and dental equipment wholesale (2,558 awards), and surgical appliance manufacturing (1,114 awards) across NAICS classifications, with procurement specialization in medical and surgical instruments and equipment (4,440 awards under PSC), hospital furniture and equipment (1,309 awards), and laboratory supplies (1,192 awards). The company fills both commodity medical supply orders (bandages, syringes, sutures, heating pads) and specialized equipment demand (dental suites, field hospital beds, medical mannequins for trauma training, tourniquets, and emergency medical kits). All recent prime awards carry firm fixed-price or fixed-price-with-economic-price-adjustment terms and no set-aside designations, indicating full-and-open competitive procurement. Performance across all awards is executed from Greer, South Carolina.