Common Contracts
1 similar Contract contracts
ContractContract • March 21st, 2018 • Washington
CONTRACT HCA Contract Number: K1101 Contractor/Vendor Contract Number: THIS AGREEMENT made by and between Washington State Health Care Authority, hereinafter referred toas "HCA," and the party whose name appears below, hereinafter referred to as the "Contractor." CONTRACTOR NAME [Organization] CONTRACTOR doing business as (DBA) CONTRACTOR ADDRESS[Mailing Address] [City, State, Zip] WASHINGTON UNIFORM BUSINESS IDENTIFIER (UBI) CONTRACTOR CONTACT CONTRACTOR TELEPHONE CONTRACTOR E-MAIL ADDRESS HCA PROGRAMWashington Medicaid Integration Project (WMIP) HCA DIVISION/SECTIONHealth Care Services HCA CONTRACT CODEN/A HCA CONTACT NAME AND TITLE Alison Robbins HCA CONTACT ADDRESSP.O. Box 45530,Olympia, WA 98504-5530 HCA CONTACT TELEPHONE (360) 725-1634 HCA CONTACT E-MAIL ADDRESS Alison.robbins@hca.wa.gov IS THE CONTRACTOR A SUBRECIPIENT FOR PURPOSES OF THIS CONTRACT?YES NO CFDA NUMBER(S) FFATA Form RequiredYES NO CONTRACT START DATE January 1, 2014 CONTRACT END DATE June 30, 2014 TOTAL MAXIM
