ContractInteragency Agreement • November 25th, 2020
Contract Type FiledNovember 25th, 2020INTERAGENCY AGREEMENT AMENDMENT HCA Contract No.: K4237 Amendment No.: 03 THIS AMENDMENT TO THE INTERAGENCY AGREEMENT is between the Washington State Health Care Authority and the party whose name appears below, and is effective as of the date set forth below. CONTRACTOR NAMEHarborview Medical Center on behalf of University of Washington CONTRACTOR doing business as (DBA) CONTRACTOR ADDRESS325 Ninth AvenueSeattle, WA 98294 WASHINGTON Taxpayer Identification Number (TIN)91-1631806and SWV NumberSWV0024602 04