Dispatch Request for Midmark Delivery - [Muscogee Creek Nation - MDS - 8641698 - Equipment]
Closed
Please see the following technician request details for Midmark equipment delivery and installation
Request Type: Installation and delivery
Date of Delivery: 09/23/25
Delivery Time: 10:00AM
Time Technician needs to arrive at location: 9:30AM
Estimated Time on Site (hours): 2
Product: (1) 647-002 (1) 002-1119-851
EMSAR Technician Expectations:
Review all of the attached documents in detail
Call the Midmark contact (created the dispatch) with any questions
Call the customer POC 48 hours ahead of time to confirm date/time
Call the delivery agent 24 hours ahead of time to confirm date/time and confirm preassembly will be done and essential tools are known
Arrive on scheduled time to meet with customer Point of Contact (POC) and confirm rooms are ready for delivery prior to actual delivery
Supervise the delivery
Fill our Serial Number Tracking file and provide back to the customer
Fill out the Proof of Delivery (POD), get the driver and customer signatures
Fill out the Medical Delivery Observation Form
Email POD and Observation form to MDSLogistics@midmark.com
Customer Name: Okmulgee Indian Health Clinic
Customer POC: Kisha Gobin
Customer POC Phone: (o) 918-591-5771
(c) 918-759-1866
Customer POC Email: kisha.gobin@creekhealth.org
Customer Address:
1313 East 20 Street
Okmulgee, Oklahoma 74447
United States
i arrived on location at 9:30 meet with Kisha Gobin. She then took me to area that table will be install. Delivery team arrived on location. Un boxed and took table off pallet unit was rolled into the building to exam room 2. I then set unit up for operation. I the function tested unit and it passed all test. Unit was cleaned. Donjue Williams the came did final inspection and function tested unit it passed all test. Unit was placed back in serviice and POD checklist was sign by delivery team and POC of facility.
🔍Technician Findings
Delivery of model 647 SN V2848109
⚠️Problem Description
Please see the following technician request details for Midmark equipment delivery and installation
Request Type: Installation and delivery
Date of Delivery: 09/23/25
Delivery Time: 10:00AM
Time Technician needs to arrive at location: 9:30AM
Estimated Time on Site (hours): 2
Product: (1) 647-002 (1) 002-1119-851
EMSAR Technician Expectations:
Review all of the attached documents in detail
Call the Midmark contact (created the dispatch) with any questions
Call the customer POC 48 hours ahead of time to confirm date/time
Call the delivery agent 24 hours ahead of time to confirm date/time and confirm preassembly will be done and essential tools are known
Arrive on scheduled time to meet with customer Point of Contact (POC) and confirm rooms are ready for delivery prior to actual delivery
Supervise the delivery
Fill our Serial Number Tracking file and provide back to the customer
Fill out the Proof of Delivery (POD), get the driver and customer signatures
Fill out the Medical Delivery Observation Form
Email POD and Observation form to MDSLogistics@midmark.com
Customer Name: Okmulgee Indian Health Clinic
Customer POC: Kisha Gobin
Customer POC Phone: (o) 918-591-5771
(c) 918-759-1866
Customer POC Email: kisha.gobin@creekhealth.org
Customer Address:
1313 East 20 Street
Okmulgee, Oklahoma 74447
United States
📞
Call
Completed Sep 9, 2025
No need to call.
Sep 9, 2025 4:23pm
@Allison Belyea
This request is delivery and installation, so I used the Midmark MDS Installations contract, let me know if that is incorrect.
📅
WO-01303468 - Delivery - Okmulgee - Okmulgee Indian Health Clinic
Sep 23, 2025 10:30am – 12:30pm
Work Order: WO-01303468
Account: MIDMARK
Customer Case Number: 8641698
Location: Okmulgee Indian Health Clinic
Address: 1313 E 20th St, Okmulgee, OK 74447
Manufacturer:
Model #:
Serial #:
Contact Name: Kisha Gobin
Contact Phone: 918-591-5771
Contact Email:
Due Date: 9/23/2025
Scheduled Date/Time
WORD_X
Midmark Delivery Service Expectations
Sep 9, 2025
EXCEL_X
2022 Serial File Midmark
Sep 9, 2025
EXCEL_X
Medical Observation Form Rev 3.29.2022
Sep 9, 2025
WORD_X
2022 Medical POD Checklist
Sep 9, 2025
WORD_X
Service Request Document
Sep 9, 2025
JPEG
IMG_4437
Sep 23, 2025
JPEG
IMG_4436
Sep 23, 2025
JPEG
IMG_4438
Sep 23, 2025
EXCEL_X
OKMULGEE INDIAN Midmark MDS copy
Sep 23, 2025
Timeline
📞
Case Linked Sep 9, 11:31 AM
Case Number:00525622
Subject:Dispatch Request for Midmark Delivery - [Muscogee Creek Nation - MDS - 8641698 - Equipment]