Common Contracts

Contract

Client Service Contract • May 20th, 2020 • Washington

• Contract Type
  Client Service Contract
• Filed
  May 20th, 2020
• Jurisdiction
  Washington

CLIENT SERVICE CONTRACT‌‌ DSHS Contract Number: Resulting From Solicitation Number: RFP 0913-343 This Contract is between the State of Washington Department of Social and Health Services (DSHS) and the Contractor identified below. Program Contract Number: Contractor Contract Number: CONTRACTOR NAME CONTRACTOR doing business as (DBA) CONTRACTOR ADDRESS WASHINGTON UNIFORM BUSINESS IDENTIFIER (UBI) DSHS INDEX NUMBER CONTRACTOR CONTACT CONTRACTOR TELEPHONE CONTRACTOR FAX CONTRACTOR E-MAIL ADDRESS DSHS ADMINISTRATION Medicaid Purchasing Administration DSHS DIVISION Division of Healthcare Services DSHS CONTRACT CODE 7054XS-13 DSHS CONTACT NAME AND TITLE RosaMaria Espinoza Program Manager DSHS CONTACT ADDRESS PO Box 45530626 - 8th Ave.Olympia, WA 98504-5530 DSHS CONTACT TELEPHONE (360) 725-1721 Ext: DSHS CONTACT FAX (360) 664-0261 DSHS CONTACT E-MAIL ADDRESS rosamaria.espinoza@dshs.wa.gov IS THE CONTRACTOR A SUBRECIPIENT FOR PURPOSES OF THIS CONTRACT? No CFDA NUMBER(S) 93.778 CONTRACT START

Contract

Client Service Contract • June 7th, 2017 • Washington

• Contract Type
  Client Service Contract
• Filed
  June 7th, 2017
• Jurisdiction
  Washington

CLIENT SERVICE CONTRACT DSHS Contract Number: Resulting From Solicitation Number: RFP 0913-343 This Contract is between the State of Washington Department of Social and Health Services (DSHS) and the Contractor identified below. Program Contract Number: Contractor Contract Number: CONTRACTOR NAME CONTRACTOR doing business as (DBA) CONTRACTOR ADDRESS WASHINGTON UNIFORM BUSINESS IDENTIFIER (UBI) DSHS INDEX NUMBER CONTRACTOR CONTACT CONTRACTOR TELEPHONE CONTRACTOR FAX CONTRACTOR E-MAIL ADDRESS DSHS ADMINISTRATION Medicaid Purchasing Administration DSHS DIVISION Division of Healthcare Services DSHS CONTRACT CODE 7054XS-13 DSHS CONTACT NAME AND TITLE RosaMaria Espinoza Program Manager DSHS CONTACT ADDRESS PO Box 45530626 - 8th Ave.Olympia, WA 98504-5530 DSHS CONTACT TELEPHONE (360) 725-1721 Ext: DSHS CONTACT FAX (360) 664-0261 DSHS CONTACT E-MAIL ADDRESS rosamaria.espinoza@dshs.wa.gov IS THE CONTRACTOR A SUBRECIPIENT FOR PURPOSES OF THIS CONTRACT? No CFDA NUMBER(S) 93.778 CONTRACT START D