Title
Dept/ Agency: Child and Family Well-Being
Action: (X) Ratifying (X) Authorizing ( ) Amending
Type of Service: Professional Service Contract
Purpose: Assist in the organization and assignment of medical staff in concert with the Clinical Director, reviews activities of the medical staff to ensure the productivity quality levels are met within the Division of Medical Care Services.
Entity Name: Forest Hill Family Health Associates, P.A., providing the services of Thomas R. Ortiz, MD, as Medical Director Consultant
Entity Address: 465 Mt. Prospect Avenue, Newark, NJ 07104
Contract Amount: $162,000.00
Funding Source: City of Newark Budget/Department of Child and Family Well-Being/Open-Ended
Contract Period: January 4, 2012 through January 3, 2013
Contract Basis: ( ) Bid ( ) State Vendor (X) Prof. Ser. ( ) EUS
(X) Fair & Open ( ) No Reportable Contributions (X) RFP ( ) RFQ
( ) Private Sale ( ) Grant ( ) Sub-recipient ( ) n/a
Additional Information: N/A