The Pine Ridge Indian Health Service Hospital in Pine Ridge, SD, is seeking a contractor to provide Mid-level Provider Services (Nurse Practitioner or Physician Assistant) for a 36-month period, structured as a base period of six weeks followed by twenty-five six-week option periods. This opportunity is a 100% Indian Small Business Economic Enterprise (ISBEE) set-aside under NAICS 561320, with a firm-fixed price purchase order awarded on a Lowest Price Technically Acceptable (LPTA) basis. The contractor must provide fully loaded, all-inclusive hourly rates for 2,088 hours per six-week period across all CLINs, with pricing evaluated for completeness and reasonableness. Technical capability requires proposed providers to hold current, unrestricted licenses and national certifications, meet IHS credentialing, and demonstrate clinical competency, while past performance requires at least three relevant healthcare staffing references. Performance will occur at the Pine Ridge Outpatient Department in Pine Ridge, South Dakota.