ContractClient Service Contract Kidney Disease • September 22nd, 2021 • Washington
CLIENT SERVICE CONTRACTKidney Disease Program Previous HCA Contract Number: K HCA Contract Number: K THIS AGREEMENT made by and between Washington State Health Care Authority, hereinafter referred to as "HCA" and “Authority” and the party whose name appears below, hereinafter referred to as "Contractor." CONTRACTOR NAME CONTRACTOR doing business as (DBA) CONTRACTOR ADDRESS WASHINGTON UNIFORM BUSINESS IDENTIFIER (UBI) CONTRACTOR CONTACT CONTRACTOR TELEPHONE CONTRACTOR E-MAIL ADDRESS HCA PROGRAMKidney Disease Program HCA DIVISION/SECTIONFinancial Services HCA CONTACT NAME AND TITLE Stefanie Slakey HCA CONTACT ADDRESS626 8th AvenueOlympia, WA 98501 HCA CONTACT TELEPHONE (360) 725-1243 HCA CONTACT E-MAIL ADDRESS stefanie.slakey@hca.wa.gov IS THE CONTRACTOR A SUBRECIPIENT FOR PURPOSES OF THIS CONTRACT? YES NO CFDA NUMBER(S)N/A FFATA Form Required YES NO CONTRACT START DATE 07/01/2021 CONTRACT END DATE 07/01/2023 TOTAL MAXIMUM CONTRACT AMOUNT PURPOSE OF CONTRACT:To assist persons who meet
