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Sentara Supply Chain Supplier Inquiry
Supplier name
Supplier Representative Contact
Supplier Representative Email
Supplier Contact Information
Please list all product/service categories that your company provides
Is your company certified as being 51% owned, controlled and operated by one of the following groups?
Minority-Owned
Minority-Business Enterprise (MBE)
Women-Owned
Woman Business Enterprise (WBE)
Veteran Owned
Disable Veteran Business Enterprise (DVBE)
Disadvantaged Veteran Enterprise (DVE)
Service Disabled Veteran (SDV)
Vietnam Veteran
Veteran Business Enterprise (VBE)
Disadvantaged Business Enterprise (BDE)
Small Disadvantaged Business (SDB)
Disabled Owned
8(A) Designation
HUBZone Certified
None of the above
Is your company a manufacturer or a distributor? Check all that apply
Manufacturer Only
Distributor Only
Both
Neither, provide a service
Does your company have an active contract with Vizient, the Group Purchasing Organization (GPO) that Sentara Healthcare utilizes?
Yes
No
What types of electronic ordering do you support? Check all that apply.
Email
Fax
Phone
EDI
Please provide any additional information regarding your company and your product/services
Submit