Title
Dept/ Agency: Child and Family Well-Being
Action: (X) Ratifying (X) Authorizing ( ) Amending
Type of Service: Professional Service Contract
Purpose: To assist in the organization and assignment of medical staff in concert with the Clinical Director and review activities of the medical staff to ensure the productivity quality levels are met within the Division of Medical Care Services
Entity Name: Thomas R. Ortiz, MD, FAAFP Health Practice Management Corp.
Entity Address: 465 Mt. Prospect Avenue, Newark, NJ 07104
Contract Amount: Not to exceed $162,000.00
Funding Source: City of Newark Budget/Child and Family Well-Being/ Open-Ended
Contract Period: January 4, 2011 through January 3, 2012
Contract Basis: ( ) Bid ( ) State Vendor (X) Prof. Ser. ( ) EUS
( ) Fair & Open (X) No Reportable Contributions ( ) RFP ( ) RFQ
( ) Private Sale ( ) Grant ( ) Sub-recipient ( ) n/a
Additional Information: N/A