ContractInteragency Agreement School District Reimbursment Hca Agreement • May 5th, 2020 • Washington
INTERAGENCY AGREEMENTSCHOOL DISTRICT REIMBURSMENT HCA Agreement Number 1165-40310 This Interagency Agreement is by and between the State of Washington Health Care Authority (HCA) and the Contractor identified below, and isissued pursuant to the Interlocal Cooperation Act, Chapter 39.34 RCW. HCA Program Number CONTRACTOR NAME Mukilteo School District #6 CONTRACTOR ADDRESS 9401 Sharon DriveEverett, WA 98204 CONTRACTOR FEDERAL EMPLOYERIDENTIFICATION NUMBER916018853 CONTRACTOR CONTACT NAMEDonna Getchell, Director of Finance CONTRACTOR CONTACT TELEPHONE425-356-1277 CONTRACTOR CONTACT FAX425-356-1279 CONTRACTOR CONTACT E-MAILgetchelldm@mukilteo.wednet.edu HCA DIVISIONDivision of Health Care Services HCA INDEX NUMBER 22698 HCACONTRACT CODE 7000LC-65 HCA CONTACT NAME AND TITLE James Harvey Program Manager HCA CONTACT ADDRESS PO Box 45502626 8th Avenue SE Olympia, WA 98504-5502 HCA CONTACT TELEPHONE (360) 725-1153 HCA CONTACT FAX (360) 664-4371 HCA CONTACT E-MAIL harvej@hca.wa.gov IS THE CON
